Kjeld Aamodt DDS Ms Il PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KJELD AAMODT DDS MS IL PC

Practice address

11 E Cedar St
Chicago, IL 60611

Phone

(415) 653-3087

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Kjeld Aamodt, DDS MSNPI 1912250176

Title

Owner

Phone

(831) 238-7285

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Kjeld Aamodt DDS Ms Il PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kjeld Aamodt DDS Ms Ny PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
  • NPI 1487434452
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kjeld Aamodt, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Francisco, CA
  • NPI 1912250176

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1669012860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUTTER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096023",
            "telephone_number": "831-238-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E CEDAR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "415-653-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJELD AAMODT DDS MS IL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "AAMODT",
        "authorized_official_first_name": "KJELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-238-7285",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912250176",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "careteam@uniformteeth.com",
            "affiliation": "N",
            "endpointDescription": "email address for Uniform Teeth patient information.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Messaging",
            "address_1": "11 E Cedar St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.