Organization Active NPI

KL Family Dental

  • Dentist
  • Winfield, IL
National Provider Identifier
1710267638
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019023214 Issued in IL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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.NPI 1730370362
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.