Individual provider Active NPI

Maria Kaakaji, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1740270156
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026723 Issued in IL
Practice address
1229 N Ashland Ave
Chicago, IL 60622-2204
Phone
(773) 252-5772
Fax
(773) 278-5043
NPI assigned
Oct 26, 2005
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019026723 IL Primary

Addresses

Primary practice location

1229 N Ashland Ave
Chicago, IL 60622-2204

Mailing address

1229 N Ashland Ave
Chicago, IL 60622-2204
Phone (773) 252-5772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019026723ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ogando DDS LLC PastSince Jun 5, 2022 Accepting new patients
West Town Dental Group Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1740270156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222204",
            "telephone_number": "773-252-5772",
            "fax_number": "773-278-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222204",
            "telephone_number": "773-252-5772",
            "fax_number": "773-278-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAKAJI",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.