Individual provider Active NPI

Vu Kong, D.D.S

  • Dentist
  • Elgin, IL
National Provider Identifier
1548428998
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027676 Issued in IL
Practice address
1350 E Chicago St Unit 4
Elgin, IL 60120
Phone
(847) 760-6100
NPI assigned
May 31, 2008
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019027676ILMDDentist
2901019781MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Feb 4, 2024 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.

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.

Verify at the official NPI Registry.