Active NPI
David Matthew Kurian, DMD
- Dentist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019031752
- Practice address
- 801 S Paulina St
Chicago, IL 60612-7210 - Phone
- (312) 996-7556
- NPI assigned
- Jun 19, 2018
- Last updated
- Aug 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36181 | TX | |
| Dentist | 122300000X | 019031752 | IL | Primary |
Addresses
Primary practice location
801 S Paulina St
Chicago, IL 60612-7210
Mailing address
4023 Falcon Dr
Naperville, IL 60564-5884
Phone (630) 687-0793
Other practice location 1
368 W Washington St
East Peoria, IL 61611-2036
Phone (368) 694-4444
Other practice location 2
4023 Falcon Dr
Naperville, IL 60564-5884
Phone (630) 687-0793
Other practice location 3
5307 E Mockingbird Ln Ste 325
Dallas, TX 75206-5109
Phone (855) 422-6486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | endodontics@uic.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019031752 | IL | MD | Dentist |
| 36181 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Illinois, P.C. | Past | Accepting new patients | |
| Windy City Anesthesia PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba College Avenue Family Dentistry
- General Practice Dentistry
- Alton, IL
- NPI 1447472790
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1396239877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4023 FALCON DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605645884",
"telephone_number": "630-687-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127210",
"telephone_number": "312-996-7556"
}
],
"practiceLocations": [
{
"address_1": "368 W Washington St",
"address_purpose": "LOCATION",
"city": "East Peoria",
"state": "IL",
"postal_code": "616112036",
"country_code": "US",
"telephone_number": "368-694-4444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4023 Falcon Dr",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605645884",
"country_code": "US",
"telephone_number": "630-687-0793",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5307 E Mockingbird Ln Ste 325",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752065109",
"country_code": "US",
"telephone_number": "855-422-6486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURIAN",
"first_name": "DAVID",
"middle_name": "MATTHEW",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36181",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031752",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "endodontics@uic.edu",
"affiliation": "N",
"address_1": "801 S Paulina St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606127210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.