KP Dental Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

019030455 Issued in IL

Legal business name

KP DENTAL INC.

Practice address

704 N Greenwood Ave
Park Ridge, IL 60068-2508

Phone

(312) 213-0612

NPI assigned

Dec 19, 2015

Last updated

Dec 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Patel

Title

President

Phone

(312) 213-0612

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450483200000",
    "number": "1518322478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N GREENWOOD AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N GREENWOOD AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600682508",
            "telephone_number": "312-213-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-19",
        "last_updated": "2015-12-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-213-0612"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Kovbel, MD
• Robert Stephen Kozelka, DDS
• Kamila Kozicki-Bonnert, M.H.S.-CCC/SLP/L
• Donald John Koziol, M.D.
• Nikola Ewa Koziol
• Wendy Frech Kramer, L.C.S.W.
• Sara Koveleski Kraut, DPT
• Svetlana I Kravtchenko, MD
• Kathleen M Krawzak, D.N.P., A.P.N.
• Christian James Kreiger

• Dentist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2015; 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.