NPIMap

Organization Active NPI

Kana Yajima DDS

  • General Practice Dentistry
  • Mount Prospect, IL
National Provider Identifier
1548880289
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KANA YAJIMA DDS
Doing business as
Smiles Solution Dental Center
Practice address
200 W Northwest Hwy Ste 100
Mount Prospect, IL 60056-3142
Phone
(847) 255-5500
Fax
(847) 259-3945
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Dr. Kana Yajima, DDSNPI 1720126303
Title
Owner
Phone
(847) 845-6071

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 W Northwest Hwy Ste 100
Mount Prospect, IL 60056-3142

Mailing address

200 W Northwest Hwy Ste 100
Mount Prospect, IL 60056-3142
Phone (847) 255-5550

Other identifiers 1

IdentifierTypeStateIssuer
172-012-6303OtherILNPI

Other names 1

  • Smiles Solution Dental Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smilesolutions@comcast.net Direct

National Provider Directory

National Provider Directory

Locations

200 W Northwest Hwy
Ste 100
Mt Prospect, IL 60056
Phone (847) 255-5500

Practitioners & affiliated clinicians

Practitioners 1

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": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1548880289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W NORTHWEST HWY STE 100",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563142",
            "telephone_number": "847-255-5550",
            "fax_number": "847-259-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W NORTHWEST HWY STE 100",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563142",
            "telephone_number": "847-255-5500",
            "fax_number": "847-259-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANA YAJIMA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "YAJIMA",
        "authorized_official_first_name": "KANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-845-6071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "172-012-6303",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smilesolutions@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "200 W Northwest Hwy Ste 100",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600563142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smiles Solution Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.