Kathryn Kovatch Bachinski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030016 Issued in IL

Practice address

680 W Boughton Rd
Suite 100
Bolingbrook, IL 60440-2185

Phone

(630) 759-0077

NPI assigned

Aug 28, 2014

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• KKB, LLC

  dba Hidden Lakes Dental Care

  • Dental Clinic/Center
  • Bolingbrook, IL
  • NPI 1245768191
  NPD (past) Authorized official
• Hidden Lakes Dental Care, P.C.

  • Dentist
  • Bolingbrook, IL
  • NPI 1649378571
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1366842247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W BOUGHTON RD",
            "address_2": "SUITE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402185",
            "telephone_number": "630-759-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W BOUGHTON RD",
            "address_2": "SUITE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402185",
            "telephone_number": "630-759-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHINSKI",
        "first_name": "KATHRYN",
        "middle_name": "KOVATCH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nicole Austin, CCC-SLP
• Ay Behavioral Health and Holistic Care Inc
• Suzy Azalea
• B & L Counseling Services LLC
• B & P Home Care Inc.
• Carla T Bader, LPC
• Alicea Bailey, LCPC
• Chelsea Bailey, LAC
• Russell J Bak, DDS
• Balanced Soul Counseling PLLC

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, 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 Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.