Individual provider Active NPI

Douglas L. Kay, D.D.S.

  • General Practice Dentistry
  • Oakbrook Terrace, IL
National Provider Identifier
1730182486
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017846 Issued in IL
Practice address
17 W 535 Butterfield Road
Suite 201
Oakbrook Terrace, IL 60181-5628
Phone
(630) 834-7446
Fax
(630) 834-7490
NPI assigned
May 24, 2005
Last updated
Sep 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019017846 IL Primary

Addresses

Primary practice location

17 W 535 Butterfield Road
Suite 201
Oakbrook Terrace, IL 60181-5628

Mailing address

17 W 535 Butterfield Road
Suite 201
Oakbrook Terrace, IL 60181-5628
Phone (630) 834-7446

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
I20150521002303 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1759601354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1730182486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W 535 BUTTERFIELD ROAD",
            "address_2": "SUITE 201",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601815628",
            "telephone_number": "630-834-7446",
            "fax_number": "630-834-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 535 BUTTERFIELD ROAD",
            "address_2": "SUITE 201",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601815628",
            "telephone_number": "630-834-7446",
            "fax_number": "630-834-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "DOUGLAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.