Organization Active NPI

Dak93Inc

  • Customized Equipment (DME)
  • Naperville, IL
National Provider Identifier
1811168370
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DAK93INC
Doing business as
Elegance Underneath
Practice address
2775 Show Place Dr Ste 113
Naperville, IL 60564-5046
Phone
(630) 579-5983
Fax
(630) 579-5984
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Mr. David Albert Kaleta
Title
Owner
Phone
(630) 579-5983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

2775 Show Place Dr Ste 113
Naperville, IL 60564-5046

Mailing address

2775 Show Place Dr Ste 113
Naperville, IL 60564-5050
Phone (630) 579-5983

Other names 1

  • Elegance Underneath Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930011037 IL DME Supplier - Prosthetic Personnel 6608075759 Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

2775 Showplace Dr
Ste 113
Naperville, IL 60564
Phone (630) 579-5983

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1811168370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SHOW PLACE DR STE 113",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645050",
            "telephone_number": "630-579-5983",
            "fax_number": "630-579-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SHOW PLACE DR STE 113",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645046",
            "telephone_number": "630-579-5983",
            "fax_number": "630-579-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAK93INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "KALETA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-579-5983",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elegance Underneath",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.