Active NPI
Kunal Bector, DDS
- General Practice Dentistry
- Rockford, IL
National Provider Identifier
1235877192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.033576
- Practice address
- 845 S Perryville Rd Unit 127
Rockford, IL 61108-4340 - Phone
- (779) 423-2135
- NPI assigned
- May 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.033576 | IL | Primary |
Addresses
Primary practice location
845 S Perryville Rd Unit 127
Rockford, IL 61108-4340
Mailing address
1400 Ashley Rd
Hoffman Estates, IL 60169-4818
Phone (972) 697-6458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033576 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653091200000",
"number": "1235877192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 ASHLEY RD",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601694818",
"telephone_number": "972-697-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S PERRYVILLE RD UNIT 127",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611084340",
"telephone_number": "779-423-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECTOR",
"first_name": "KUNAL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-21",
"last_updated": "2022-05-21",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.033576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
- Patricia Mary Beckemeyer, R.D.
- Laura L Becker Hesch, P.T.
- Rachele Becker, FNP-BC
- Beckford Health, LLC
- Becoming Free Counseling Services PLLC
- Janet S Beger, MSW, LCSW,
- Catherine Elizabeth Beguin, OTR/L
- Hosne Ara Begum, MD
- Behavioral Medicine & Neuropsychological Associates, LLC
- Behavioral Medicine, P.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.