Organization Active NPI

Kathy Lam DDS, LLC

  • Dental Clinic/Center
  • Wheaton, IL
National Provider Identifier
1275012684
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019026695 Issued in IL
Legal business name
KATHY LAM DDS, LLC
Practice address
311 S Naperville Rd Ste a
Wheaton, IL 60187-5473
Phone
(630) 653-7720
NPI assigned
Aug 8, 2018
Last updated
Aug 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Lam, DDS
Title
President
Phone
(630) 653-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019026695 IL Primary

Addresses

Primary practice location

311 S Naperville Rd Ste a
Wheaton, IL 60187-5473

Mailing address

210 Chapin Way
Oswego, IL 60543-5010
Phone (630) 346-0563

Other names 1

  • Dekalb Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

311 S Naperville Rd
Ste A
Wheaton, IL 60187
Phone (630) 653-7720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1275012684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHAPIN WAY",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435010",
            "telephone_number": "630-346-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S NAPERVILLE RD STE A",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875473",
            "telephone_number": "630-653-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY LAM DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-653-7720",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.