Individual provider Active NPI

Kathryn Delfs, DDS

  • Dentist
  • Evanston, IL
National Provider Identifier
1306014782
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019022273 Issued in IL
Practice address
500 Davis St Ste 106
Evanston, IL 60201-4600
Phone
(847) 328-2336
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019022273 IL Primary

Addresses

Primary practice location

500 Davis St Ste 106
Evanston, IL 60201-4600

Mailing address

500 Davis St Ste 106
Evanston, IL 60201-4600
Phone (847) 328-2336

Other practice location 1

111 N Wabash Ave Ste 1820
Chicago, IL 60602-2973
Phone (312) 236-3633

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

LicenseStateTypeSpecialty
019022273ILMDDentist

Interoperability endpoints

  • Direct secure messaging: kdelfs660376@direct.ynhh.org

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1306014782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DAVIS ST STE 106",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014600",
            "telephone_number": "847-328-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAVIS ST STE 106",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014600",
            "telephone_number": "847-328-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Wabash Ave Ste 1820",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606022973",
            "country_code": "US",
            "telephone_number": "312-236-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELFS",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.