Individual provider Active NPI

Naoko Fukushima, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1780716803
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025718 Issued in IL
Practice address
2941 W Addison St
Chicago, IL 60618-4635
Phone
(773) 230-1884
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019025718 IL
General Practice Dentistry 1223G0001X DN23169 FL
General Practice Dentistry 1223G0001X 019025718 IL Primary
Dentist 122300000X DN23169 FL

Addresses

Primary practice location

2941 W Addison St
Chicago, IL 60618-4635

Mailing address

9258 Smithies St
Orlando, FL 32827-3841
Phone (773) 230-1884

Other practice location 1

316 N Alafaya Trl
Orlando, FL 32828-7000
Phone (773) 230-1884

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
I20151208001341 IL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2961702337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23169FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Dental Solutions, P.C. General Practice PastSince May 16, 2021 Accepting new patients
Aesthetic Dental Solutions, P.C. General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1780716803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 SMITHIES ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328273841",
            "telephone_number": "773-230-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184635",
            "telephone_number": "773-230-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 N Alafaya Trl",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328287000",
            "country_code": "US",
            "telephone_number": "773-230-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUKUSHIMA",
        "first_name": "NAOKO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025718",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23169",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025718",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.