Individual provider Active NPI

Kara Passolt, D.M.D.

  • General Practice Dentistry
  • Romeoville, IL
National Provider Identifier
1770935181
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019030734 Issued in IL
Practice address
638 N Independence Blvd
Romeoville, IL 60446-1374
Phone
(815) 886-0875
NPI assigned
Jul 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 019030734 IL Primary

Addresses

Primary practice location

638 N Independence Blvd
Romeoville, IL 60446-1374

Mailing address

1222 W Madison St
Apt 222
Chicago, IL 60607-2044
Phone (224) 422-9693

Other practice location 1

9133 Waukegan Rd
Morton Grove, IL 60053-2120
Phone (847) 470-0001

Other practice location 2

7350 W College Dr Ste 104A
Palos Heights, IL 60463-1187
Phone (708) 448-7588

Other practice location 3

620 Townhall Dr
Romeoville, IL 60446-1338
Phone (815) 886-0875

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
019030734ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Usp Clinical GPS PLLC General Practice CurrentSince May 11, 2025 Accepting new patients
Townhall Dental Associates Past Accepting new patients
Morton Grove Dental Associates General Practice Past Accepting new patients
Usp Dental Associates PC Past Accepting new patients

Locations

638 N Independence Blvd
Romeoville, IL 60446
Phone (815) 886-0875

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1770935181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 W MADISON ST",
            "address_2": "APT 222",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072044",
            "telephone_number": "224-422-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N INDEPENDENCE BLVD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461374",
            "telephone_number": "815-886-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9133 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Morton Grove",
            "state": "IL",
            "postal_code": "600532120",
            "country_code": "US",
            "telephone_number": "847-470-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7350 W College Dr Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631187",
            "country_code": "US",
            "telephone_number": "708-448-7588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Townhall Dr",
            "address_purpose": "LOCATION",
            "city": "Romeoville",
            "state": "IL",
            "postal_code": "604461338",
            "country_code": "US",
            "telephone_number": "815-886-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSOLT",
        "first_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.