Organization Active NPI

Kathleen B Barth

  • General Practice Dentistry
  • Winnetka, IL
National Provider Identifier
1295039980
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-018676 Issued in IL
Legal business name
KATHLEEN B BARTH
Practice address
475 Chestnut St
Winnetka, IL 60093-2438
Phone
(847) 446-1378
Fax
(847) 446-1412
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Dr. Kathleen B Barth, DDSNPI 1861824419
Title
Owner
Phone
(847) 446-1378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019-018676 IL Primary

Addresses

Primary practice location

475 Chestnut St
Winnetka, IL 60093-2438

Mailing address

475 Chestnut St.
Winnetka, IL 60093
Phone (847) 446-1378

National Provider Directory

National Provider Directory

Locations

475 Chestnut St
Winnetka, IL 60093
Phone (847) 446-1368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1295039980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CHESTNUT ST.",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "60093",
            "telephone_number": "847-446-1378",
            "fax_number": "847-446-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHESTNUT ST",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932438",
            "telephone_number": "847-446-1378",
            "fax_number": "847-446-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN B BARTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-446-1378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-018676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.