Candace Demaia Kountz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032617 Issued in IL

Practice address

647 N 1St Bank Dr
Palatine, IL 60067-8111

Phone

(206) 714-1318

NPI assigned

Jun 4, 2020

Last updated

Jun 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1730703836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "847-358-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 N 1ST BANK DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678111",
            "telephone_number": "206-714-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNTZ",
        "first_name": "CANDACE",
        "middle_name": "DEMAIA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Kohls Weatherton, LMT
• Daniel Konishi, D.D.S.,M.S.D.
• Olena Kontseva, NP
• Agnieszka D Kostyra-Strall, PT
• Peter J. Kotsiopoulos, D.D.S., P.C.
• Debra Ann Kowalczyk, M.A., LCPC
• Christopher Kowalski, DDS
• Kasey Morgan Kozak, RBT
• Alan Terence Krakora, D.D.S.
• Krzysztof Krasowski, PT

• General Practice Dentistry in Palatine, IL
• Providers in Palatine, 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 Jun 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.