Individual provider Active NPI

Monika Kak, D.D.S.

  • General Practice Dentistry
  • Elgin, IL
National Provider Identifier
1528105434
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025980 Issued in IL
Practice address
15 N Geneva St
Elgin, IL 60120-5664
Phone
(847) 488-1925
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019025980 IL Primary

Addresses

Primary practice location

15 N Geneva St
Elgin, IL 60120-5664

Mailing address

15 N Geneva St
Elgin, IL 60120-5664
Phone (847) 488-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001517 IL Order and Referring Only - DentistPractitioner - Dentist 3274824412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1528105434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N GENEVA ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205664",
            "telephone_number": "847-488-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N GENEVA ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601205664",
            "telephone_number": "847-488-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAK",
        "first_name": "MONIKA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.