Nicole Krysten Carr, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019034407 Issued in IL

Practice address

566 E Northwest Hwy
Palatine, IL 60074-6355

Phone

(847) 202-0033

NPI assigned

Aug 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole Krysten Kowalski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1356023352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746355",
            "telephone_number": "847-202-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746355",
            "telephone_number": "847-202-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "NICOLE",
        "middle_name": "KRYSTEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-09-27",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019034407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KOWALSKI",
            "middle_name": "KRYSTEN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Francis C Candre III, D.D.S.
• Michaela Ann Cantu, LCSW
• Arc Capulong, PT
• Allan Joy Carabeo
• Carolyn Trujillo LLC
• Tiesha Mia Carr, ED.D, LPC
• David Velez Carrillo, LCSW
• Tonee Carter
• Caryn Brauweiler, PLLC
• Jessica Castronovo

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.