James Stanley Kaszuba, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019018246 Issued in IL

Practice address

1704 Patton Dr Ste 1
Mahomet, IL 61853-8137

Phone

(203) 530-3136

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 28, 2015 through Sep 28, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1306929401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 PATTON DR STE 1",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618538137",
            "telephone_number": "219-836-9999",
            "fax_number": "219-836-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 PATTON DR STE 1",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618538137",
            "telephone_number": "203-530-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Wabash Ave",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478073212",
            "country_code": "US",
            "telephone_number": "708-712-8854",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 Calumet Ave",
            "address_2": "Suite C2",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212888",
            "country_code": "US",
            "telephone_number": "219-836-9999",
            "fax_number": "219-836-0644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASZUBA",
        "first_name": "JAMES",
        "middle_name": "STANLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019018246",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "IN12009211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Thomas Karich, DMD
• KD Counseling
• Victoria Lynn Kearney, LCSW
• Hillary Anne Keller
• Laura Lynn Keller, APRN
• Jeffrey Klepec, LSW

• Dentist in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.