Individual provider Active NPI

Karen Catherine Kasinski

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1356754600
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.029785 Issued in IL
Practice address
4410 S Pulaski Rd
Chicago, IL 60632-4011
Phone
(773) 254-3300
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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 019.029785 IL Primary

Addresses

Primary practice location

4410 S Pulaski Rd
Chicago, IL 60632-4011

Mailing address

355 E Ohio St Unit 4607
Chicago, IL 60611-5878
Phone (262) 488-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514000142 IL Order and Referring Only - DentistPractitioner - Dentist 0648590711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.029785ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1356754600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E OHIO ST UNIT 4607",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115878",
            "telephone_number": "262-488-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324011",
            "telephone_number": "773-254-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASINSKI",
        "first_name": "KAREN",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.