Active NPI
James S Kakos, DDS FAGD
- Dentist
- Arlington Heights, IL
National Provider Identifier
1487721098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 1401 S Arlington Heights Road
Suite One
Arlington Heights, IL 60005 - Phone
- (847) 758-0100
- Fax
- (847) 758-0112
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
1401 S Arlington Heights Road
Suite One
Arlington Heights, IL 60005
Mailing address
52 Parkview Lane
Hawthorn Woods, IL 60047
Phone (847) 726-7699
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 |
|---|---|---|---|
| 019-022534 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edp of Illinois P.C | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487721098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 PARKVIEW LANE",
"city": "HAWTHORN WOODS",
"state": "IL",
"postal_code": "60047",
"telephone_number": "847-726-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S ARLINGTON HEIGHTS ROAD",
"address_2": "SUITE ONE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60005",
"telephone_number": "847-758-0100",
"fax_number": "847-758-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKOS",
"first_name": "JAMES",
"middle_name": "S",
"credential": "DDS FAGD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.