Active NPI
Kenan Tufo, DMD
- Dentist
- Arlington Heights, IL
National Provider Identifier
1295453884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019033798
- Practice address
- 2900 W Euclid Ave
Arlington Heights, IL 60005-1000 - Phone
- (847) 577-7171
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019033798 | IL | Primary |
Addresses
Primary practice location
2900 W Euclid Ave
Arlington Heights, IL 60005-1000
Mailing address
905 S Can Dota Ave
Mount Prospect, IL 60056-4202
Phone (773) 809-0409
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 |
|---|---|---|---|
| 019033798 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1295453884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 S CAN DOTA AVE",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600564202",
"telephone_number": "773-809-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W EUCLID AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051000",
"telephone_number": "847-577-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUFO",
"first_name": "KENAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-18",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019033798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.