Active NPI
KL Family Dental
- Dentist
- Winfield, IL
National Provider Identifier
1710267638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019023214
- Legal business name
- KL FAMILY DENTAL
- Practice address
- 1N121 County Farm Rd
Winfield, IL 60190-2019 - Phone
- (630) 653-7706
- NPI assigned
- Aug 23, 2011
- Last updated
- Aug 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karyn M Krueger-Swade, D.D.S.
- Title
- Manager
- Phone
- (630) 653-7706
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019022967 | IL | |
| Dentist | 122300000X | 019023214 | IL | Primary |
Addresses
Primary practice location
1N121 County Farm Rd
Winfield, IL 60190-2019
Mailing address
1N121 County Farm Rd
Winfield, IL 60190-2019
Phone (630) 653-7706
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Western Springs, IL
- NPI 1730370362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1710267638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1N121 COUNTY FARM RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601902019",
"telephone_number": "630-653-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1N121 COUNTY FARM RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601902019",
"telephone_number": "630-653-7706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KL FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "KRUEGER-SWADE",
"authorized_official_first_name": "KARYN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "630-653-7706",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019022967",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019023214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.