Kelli A Aaby, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019022144 Issued in IL

Practice address

2028 E Riverside Blvd
Suite 210
Loves Park, IL 61111-4804

Phone

(815) 877-4300

Fax

(815) 282-5306

NPI assigned

May 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Riverside Dental Center

  • General Practice Dentistry
  • Loves Park, IL
  • NPI 1538350533
  NPD (past)
• Riverside Dental Center GPS PLLC

  • General Practice Dentistry
  • Loves Park, IL
  • NPI 1811862196
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1508090481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E RIVERSIDE BLVD",
            "address_2": "SUITE 210",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114804",
            "telephone_number": "815-877-4300",
            "fax_number": "815-282-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E RIVERSIDE BLVD",
            "address_2": "SUITE 210",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114804",
            "telephone_number": "815-877-4300",
            "fax_number": "815-282-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AABY",
        "first_name": "KELLI",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Family Chiropractic Office PC
• Ann Leslie Abraham, MA/CCC/SLP-L
• Accelerated Rehabilitation Centers, LTD
• Access Services of Northern Illinois
• Addiction Wellness Services Inc
• Ufayo Patrick Adeshina, MD

• General Practice Dentistry in Loves Park, IL
• Providers in Loves Park, 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 May 7, 2009; 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.