Timothy E. Kabot, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021-001290 Issued in IL

Practice address

1025 W Park Ave
Libertyville, IL 60048-2550

Phone

(847) 367-8656

Fax

(847) 367-8656

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hime & Kabot, LTD.

  • Oral and Maxillofacial Surgery (Dentist)
  • Libertyville, IL
  • NPI 1245496322
  Authorized official Same address or phone
• Cross-Up Chiropractic, LTD

  • Chiropractor
  • Libertyville, IL
  • NPI 1861057887
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629193040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482550",
            "telephone_number": "847-367-8656",
            "fax_number": "847-367-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W PARK AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482550",
            "telephone_number": "847-367-8656",
            "fax_number": "847-367-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABOT",
        "first_name": "TIMOTHY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021-001290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bincy A Joseph, MD
• Robert David Joseph
• Divyang Ramesh Joshi, MD
• Joyce Muni, M.D.
• JP Lehman, DDS., PC
• Jacob Richard Kachelmeier, PHARMD
• Amberika Kahlon
• Seanra J Kalil, PA-C
• Dheeraj Davis Kalluri
• Kimberly Kamman, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.