Active NPI
Ken Sakamoto, D.D.S.
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1447319207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019019221
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019019221 | IL | MD | General Practice Dentistry |
| 6001454-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Oneida, WI
- NPI 1740278308
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.