Organization Active NPI

Dr. Karen Fields Inc

  • General Practice Dentistry
  • Forest Park, IL
National Provider Identifier
1811233695
Registry record updated Dec 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.027779 Issued in IL
Legal business name
DR. KAREN FIELDS INC
Practice address
7610 Roosevelt Rd
Forest Park, IL 60130-2295
Phone
(313) 647-1830
NPI assigned
Dec 22, 2012
Last updated
Dec 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2012

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

Authorized official

Name
Dr. Karen D Fields, DDS
Title
Dentist
Phone
(313) 647-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.027779 IL Primary

Addresses

Primary practice location

7610 Roosevelt Rd
Forest Park, IL 60130-2295

Mailing address

4201 N Mobile Ave
Chicago, IL 60634-1549
Phone (313) 647-1830

National Provider Directory

National Provider Directory

Locations

7610 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 366-9278

NPI Registry JSON

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

{
    "created_epoch": "1356134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356134400000",
    "number": "1811233695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N MOBILE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341549",
            "telephone_number": "313-647-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302295",
            "telephone_number": "313-647-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KAREN FIELDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-22",
        "last_updated": "2012-12-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-647-1830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; 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.