Organization Active NPI

Madere Dental, PLLC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1689592735
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MADERE DENTAL, PLLC
Practice address
175 N Harbor Dr Apt 5001
Chicago, IL 60601-7352
Phone
(312) 623-2363
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Dr. Kevin Madere, DMD
Title
Dentist
Phone
(312) 623-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

175 N Harbor Dr Apt 5001
Chicago, IL 60601-7352

Mailing address

175 N Harbor Dr Apt 5001
Chicago, IL 60601-7352
Phone (312) 623-2363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1689592735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR APT 5001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017352",
            "telephone_number": "312-623-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N HARBOR DR APT 5001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017352",
            "telephone_number": "312-623-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MADERE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-623-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.