Agnieszka B Kumar, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-025663 Issued in IL

Practice address

8600 US Highway 14
Suite 203
Crystal Lake, IL 60012-2706

Phone

(815) 356-0033

Fax

(815) 356-0035

NPI assigned

Jul 10, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Oaks Dental Center, LTD.

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1063577179
  NPD (past) Authorized official

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1366606204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "SUITE 203",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122706",
            "telephone_number": "815-356-0033",
            "fax_number": "815-356-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 US HIGHWAY 14",
            "address_2": "SUITE 203",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600122706",
            "telephone_number": "815-356-0033",
            "fax_number": "815-356-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "AGNIESZKA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Catahay Ksiazkiewicz, PT
• KT Therapy, PLLC
• Gregory Frank Kubik, D.D.S.
• Robyn Kubik, LPC
• Gregory T Kuhlman, DC
• Thomas J Kwasiborski
• David Kwon, D.D.S
• Marilyn M C Lacrosse, M.D.
• Barbara A Ladd, LCSW
• Lafazanos Dental PC

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, 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 Jul 10, 2008; 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.