Kristine Vasquez Streitz, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031034 Issued in IL

Practice address

13621 S Route 59 Unit 103
Plainfield, IL 60544-9701

Phone

(815) 673-7842

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Kristine B Vasquez Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Royal Dental Care S.C.

  • Dental Clinic/Center
  • Norridge, IL
  • NPI 1912167826
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1588078398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16361 S PEERLESS CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605869050",
            "telephone_number": "407-760-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13621 S ROUTE 59 UNIT 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605449701",
            "telephone_number": "815-673-7842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 W Montrose Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Norridge",
            "state": "IL",
            "postal_code": "607061000",
            "country_code": "US",
            "telephone_number": "773-589-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREITZ",
        "first_name": "KRISTINE",
        "middle_name": "VASQUEZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031034",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "VASQUEZ",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandi L Storck, PT
• Erin Storck, MOT, OTR/L
• Jessica Stoye
• Amy Strausberger, MA, LCPC, CRADC
• Joshua Streacker, ATC
• Stephanie L Stremp
• Nashayla Faye Strickling
• Robert Stroud
• Christian Paul Struven III, M.D.
• Scott David Stuck, D.C.

• General Practice Dentistry in Plainfield, IL
• Providers in Plainfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.