Organization Active NPI

K J Kohan DDS LTD

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1760657548
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025684 Issued in IL
Legal business name
K J KOHAN DDS LTD
Practice address
304 E Rand Rd Ste 240
Arlington Heights, IL 60004-3190
Phone
(847) 255-3227
Fax
(847) 255-3814
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Konstantin John Kohan, DDS
Title
Dentist
Phone
(847) 255-3227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025684 IL Primary

Addresses

Primary practice location

304 E Rand Rd Ste 240
Arlington Heights, IL 60004-3190

Mailing address

304 E Rand Rd Ste 240
Arlington Heights, IL 60004-3190
Phone (847) 255-3227

National Provider Directory

National Provider Directory

Locations

304 E Rand Rd
Ste 240
Arlington Heights, IL 60004
Phone (847) 255-2225

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1760657548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E RAND RD STE 240",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043190",
            "telephone_number": "847-255-3227",
            "fax_number": "847-255-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E RAND RD STE 240",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043190",
            "telephone_number": "847-255-3227",
            "fax_number": "847-255-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K J KOHAN DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-255-3227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.