Active NPI
Vu Kong, D.D.S
- Dentist
- Elgin, IL
National Provider Identifier
1548428998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027676
- Practice address
- 1350 E Chicago St Unit 4
Elgin, IL 60120 - Phone
- (847) 760-6100
- NPI assigned
- May 31, 2008
- Last updated
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019781 | MI | |
| Dentist | 122300000X | 019027676 | IL | Primary |
Addresses
Primary practice location
1350 E Chicago St Unit 4
Elgin, IL 60120
Mailing address
1350 E Chicago St Unit 4
Elgin, IL 60120-4724
Phone (847) 760-6100
Other practice location 1
6215 E State St
Rockford, IL 61108-2514
Phone (815) 399-7777
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 |
|---|---|---|---|
| 019027676 | IL | MD | Dentist |
| 2901019781 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westgate Family Dental RR, PLLC | Current | Accepting new patients | |
| High Point Dentistry Schaumburg PLLC | Current | Accepting new patients | |
| High Point Dentistry PLLC | Current | Accepting new patients | |
| High Point Dentistry #7 | Past | Accepting new patients | |
| Fortress Dental Corporation | Past | Accepting new patients | |
| Dental Experts, LLC | Past | Accepting new patients |
Locations
1350 E Chicago St
Unit 4
Elgin, IL 60120
Phone (847) 760-6100
Organizations & group practices 6
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.
-
- Dental Clinic/Center
- Palatine, IL
- NPI 1952963555
-
- Dental Clinic/Center
- Schaumburg, IL
- NPI 1699335760
-
dba High Point Dentistry
- Dental Clinic/Center
- Round Rock, TX
- NPI 1215693239
-
dba High Point Family Dentistry
- General Practice Dentistry
- Elgin, IL
- NPI 1205169182
-
- Pediatric Dentistry
- Austin, TX
- NPI 1144083031
-
- General Practice Dentistry
- Rockford, IL
- NPI 1437320421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1548428998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 E CHICAGO ST UNIT 4",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204724",
"telephone_number": "847-760-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 E CHICAGO ST UNIT 4",
"city": "ELGIN",
"state": "IL",
"postal_code": "60120",
"telephone_number": "847-760-6100"
}
],
"practiceLocations": [
{
"address_1": "6215 E State St",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611082514",
"country_code": "US",
"telephone_number": "815-399-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONG",
"first_name": "VU",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-31",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019781",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.