Individual provider Active NPI

Kerri Caan, DDS

  • Dentist
  • Lake Geneva, WI
National Provider Identifier
1568026730
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1002493.15 Issued in WI
Practice address
851 Park Dr Ste 101
Lake Geneva, WI 53147-4586
Phone
(262) 248-4991
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1002493.15 WI Primary

Addresses

Primary practice location

851 Park Dr Ste 101
Lake Geneva, WI 53147-4586

Mailing address

851 Park Dr Ste 101
Lake Geneva, WI 53147-4586
Phone (262) 248-4991

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
019.032495ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mena Dental PLLC CurrentSince Apr 20, 2025 Accepting new patients
Mithila Sharma DDS PLLC CurrentSince Nov 9, 2021 Accepting new patients
Geneva Family Dentistry PastSince Jan 10, 2021 Accepting new patients

Locations

5225 Touhy Ave
Skokie, IL 60077
Phone (847) 521-6676

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1568026730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 PARK DR STE 101",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474586",
            "telephone_number": "262-248-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PARK DR STE 101",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474586",
            "telephone_number": "262-248-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAAN",
        "first_name": "KERRI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002493.15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.