Active NPI
Katina Spadoni, D.D.S.
- Dentist
- South Barrington, IL
National Provider Identifier
1578835583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019020656
- Practice address
- 2 Executive CT
South Barrington, IL 60010-9507 - Phone
- (847) 304-4442
- Fax
- (847) 304-4439
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019020656 | IL | Primary |
Addresses
Primary practice location
2 Executive CT
South Barrington, IL 60010-9507
Mailing address
2 Executive CT
South Barrington, IL 60010-9507
Phone (847) 304-4442
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 |
|---|---|---|---|
| 019020656 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Barrington Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- South Barrington, IL
- NPI 1023267374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1578835583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EXECUTIVE CT",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109507",
"telephone_number": "847-304-4442",
"fax_number": "847-304-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EXECUTIVE CT",
"city": "SOUTH BARRINGTON",
"state": "IL",
"postal_code": "600109507",
"telephone_number": "847-304-4442",
"fax_number": "847-304-4439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADONI",
"first_name": "KATINA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019020656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.