Individual provider Active NPI

Rita A Kapmarski, D.D.S.

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1386890176
Registry record updated May 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.017377 Issued in IL
Practice address
14430 John Humphrey Dr
Orland Park, IL 60462-2638
Phone
(708) 460-6400
Fax
(708) 460-6409
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2016

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 019.017377 IL Primary

Addresses

Primary practice location

14430 John Humphrey Dr
Orland Park, IL 60462-2638

Mailing address

14430 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 460-6400

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
I20231215000405 IL Practitioner - Dentist 0941504617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.017377ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Dental Care PC CurrentSince Nov 6, 2023 Accepting new patients

Locations

901 S 2nd St
Ste 201
Springfield, IL 62704
Phone (312) 560-2917

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462579200000",
    "number": "1386890176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-460-6400",
            "fax_number": "708-460-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-460-6400",
            "fax_number": "708-460-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPMARSKI",
        "first_name": "RITA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2016-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.017377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.