Olivia Kismartoni, DVM, MPH

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

090.010466 Issued in IL

Practice address

530 Dunham Rd
St Charles, IL 60174-1404

Phone

(630) 584-7404

NPI assigned

Feb 16, 2012

Last updated

Feb 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liv Kismartoni Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1295008514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W TERRA COTTA AVE # B284",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143548",
            "telephone_number": "312-622-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741404",
            "telephone_number": "630-584-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISMARTONI",
        "first_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DVM, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090.010466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERINARY LICENSE NUMBER",
            "identifier": "090.010466",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIV",
            "last_name": "KISMARTONI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wayne R Kinzler, DDS
• Bess Kirch
• Layne Kirch, LCSW
• Jennifer L. Kirchhoff, RN
• Steven Phillip Kirk, PHARMD
• Angela S Kisner, PT
• Seong Kitsos, CPM
• Kyrie E Kleinfelter, DC
• David Joseph Klemm, LPC
• Heather Klemm

• Veterinarian in St Charles, IL
• Providers in St Charles, IL by specialty
• Veterinarian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.