Kana Yajima, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024343 Issued in IL

Practice address

200 W Northwest Hwy Ste 100
Mt Prospect, IL 60056-3142

Phone

(847) 255-5550

Fax

(847) 259-3945

NPI assigned

Feb 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kana Yajima DDS

  • General Practice Dentistry
  • Mount Prospect, IL
  • NPI 1548880289
  NPD Authorized official

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1720126303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W NORTHWEST HWY STE 100",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563142",
            "telephone_number": "847-255-5550",
            "fax_number": "847-259-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W NORTHWEST HWY STE 100",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563142",
            "telephone_number": "847-255-5550",
            "fax_number": "847-259-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAJIMA",
        "first_name": "KANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sheila Zagone, IBCLC, RLC

• General Practice Dentistry in Mt Prospect, IL
• Providers in Mt Prospect, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.