Individual provider Active NPI

Kenneth John Szafranski, DDS

  • General Practice Dentistry
  • Western Springs, IL
National Provider Identifier
1316018500
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
5600 Wolf Rd
Suite 130
Western Springs, IL 60558-2254
Phone
(708) 246-4333
Fax
(708) 246-4356
NPI assigned
Nov 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

5600 Wolf Rd
Suite 130
Western Springs, IL 60558-2254

Mailing address

5600 Wolf Rd
Suite 130
Western Springs, IL 60558-2254
Phone (708) 246-4333

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
019018546ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1316018500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WOLF RD",
            "address_2": "SUITE 130",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582254",
            "telephone_number": "708-246-4333",
            "fax_number": "708-246-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 WOLF RD",
            "address_2": "SUITE 130",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605582254",
            "telephone_number": "708-246-4333",
            "fax_number": "708-246-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAFRANSKI",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.