Individual provider Active NPI

Amit Kumar, DDS

  • Dentist
  • Vernon Hills, IL
National Provider Identifier
1689867327
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19-025085 Issued in IL
Practice address
250 Center Dr
Ste 202
Vernon Hills, IL 60061-1582
Phone
(847) 247-1700
Fax
(847) 810-0385
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19-025085 IL Primary

Addresses

Primary practice location

250 Center Dr
Ste 202
Vernon Hills, IL 60061-1582

Mailing address

250 Center Dr
Ste 202
Vernon Hills, IL 60061-1582
Phone (847) 247-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20160527000699 IL Practitioner - DentistPractitioner - Oral Surgery 6608166913 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19-025085ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthclix, Inc Current Accepting new patients
American Dental Group, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

250 Center Dr
Ste 202
Vernon Hills, IL 60061
Phone (312) 520-2648

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1689867327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CENTER DR",
            "address_2": "STE 202",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611582",
            "telephone_number": "847-247-1700",
            "fax_number": "847-810-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CENTER DR",
            "address_2": "STE 202",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611582",
            "telephone_number": "847-247-1700",
            "fax_number": "847-810-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19-025085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.