Organization Active NPI

Navrow L.L.C.

  • Specialist
  • Plainfield, IL
National Provider Identifier
1780948588
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036123076 Issued in IL
Legal business name
NAVROW L.L.C.
Practice address
24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Phone
(815) 676-6716
Fax
(815) 676-0454
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Dr. Jessica Lynn Kappelman, M.D., M.P.H.NPI 1376707448
Title
Physician/Owner
Phone
(815) 676-6716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036123076 IL Primary

Addresses

Primary practice location

24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507

Mailing address

24600 W 127TH St
Building B Suite 335
Plainfield, IL 60585-9507
Phone (815) 676-6716

Other names 1

  • Kappelman Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121002000559 IL Part B Supplier - Clinic/Group Practice 8921257254 Receives reassigned benefits from 3 practitioners
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

24600 W 127th St
Ste 335
Plainfield, IL 60585
Phone (815) 676-6716

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1780948588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST",
            "address_2": "BUILDING B SUITE 335",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859507",
            "telephone_number": "815-676-6716",
            "fax_number": "815-676-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST",
            "address_2": "BUILDING B SUITE 335",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859507",
            "telephone_number": "815-676-6716",
            "fax_number": "815-676-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVROW L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "KAPPELMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "815-676-6716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036123076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kappelman Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.