Individual provider Active NPI

Ken Sakamoto, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1447319207
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019221 Issued in IL
Practice address
3939 N Lincoln Ave
Chicago, IL 60613-2431
Phone
(773) 871-5500
Fax
(773) 871-5440
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019019221 IL Primary
General Practice Dentistry 1223G0001X 6001454-15 WI

Addresses

Primary practice location

3939 N Lincoln Ave
Chicago, IL 60613-2431

Mailing address

3939 N Lincoln Ave
Chicago, IL 60613-2431
Phone (773) 871-5500

Other practice location 1

525 Airport Dr
Oneida, WI 54155-9035
Phone (920) 869-2711

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

LicenseStateTypeSpecialty
019019221ILMDGeneral Practice Dentistry
6001454-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Nation Past Accepting new patients

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1447319207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132431",
            "telephone_number": "773-871-5500",
            "fax_number": "773-871-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132431",
            "telephone_number": "773-871-5500",
            "fax_number": "773-871-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Airport Dr",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "WI",
            "postal_code": "541559035",
            "country_code": "US",
            "telephone_number": "920-869-2711",
            "fax_number": "920-869-6327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019221",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001454-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 23, 2026; 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.