Dr. Kana Yajima DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19024343 Issued in IL

Legal business name

DR. KANA YAJIMA DDS

Practice address

411 W. Walnut St.
Mount Prospect, IL 60056

Phone

(847) 255-5550

Fax

(847) 259-3945

NPI assigned

Nov 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kana Yajima, DDS

Title

Owner

Phone

(847) 255-5550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1417224387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W. WALNUT ST.",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-255-5550",
            "fax_number": "847-259-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W. WALNUT ST.",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "847-255-5550",
            "fax_number": "847-259-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KANA YAJIMA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "YAJIMA",
        "authorized_official_first_name": "KANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-255-5550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19024343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecille Dizon
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• Stephanie Deliza Drozd

• General Practice Dentistry in Mount Prospect, IL
• Providers in Mount Prospect, 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 Nov 21, 2011; 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.