Organization Active NPI

Kenny a Robles Gonzalez DDS PC

  • Dentist
  • Berwyn, IL
National Provider Identifier
1356225973
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KENNY A ROBLES GONZALEZ DDS PC
Doing business as
Robles Family Dental
Practice address
3253 S Harlem Ave Unit 1C
Berwyn, IL 60402-2996
Phone
(708) 788-4444
NPI assigned
Aug 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Dr. Kenny A Robles Gonzalez, DDSNPI 1205353109
Title
President
Phone
(708) 788-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3253 S Harlem Ave Unit 1C
Berwyn, IL 60402-2996

Mailing address

3253 S Harlem Ave Unit 1C
Berwyn, IL 60402-2996
Phone (708) 788-4444

Other names 1

  • Robles Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3253 S Harlem Ave
Unit 1C
Berwyn, IL 60402
Phone (708) 788-4444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1356225973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 S HARLEM AVE UNIT 1C",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022996",
            "telephone_number": "708-788-4444",
            "fax_number": "708-788-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 S HARLEM AVE UNIT 1C",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022996",
            "telephone_number": "708-788-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY A ROBLES GONZALEZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "ROBLES GONZALEZ",
        "authorized_official_first_name": "KENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.