Organization Active NPI

Kabar Dental Inc.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1508694845
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KABAR DENTAL INC.
Practice address
6450 W 63Rd St
Chicago, IL 60638-5028
Phone
(773) 586-8525
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Lina Kabar, DDSNPI 1548716269
Title
President
Phone
(954) 909-3253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6450 W 63Rd St
Chicago, IL 60638-5028

Mailing address

222 S Racine Ave Unit 408
Chicago, IL 60607-2870
Phone (954) 909-3253

Other names 1

  • Clear Ridge Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

6450 W 63rd St
Chicago, IL 60638
Phone (773) 586-8525

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1508694845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S RACINE AVE UNIT 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072870",
            "telephone_number": "954-909-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606385028",
            "telephone_number": "773-586-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KABAR DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "KABAR",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-909-3253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Ridge Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2024; 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.