Active NPI
Kimberly Trinh, DMD
- General Practice Dentistry
- Elgin, IL
National Provider Identifier
1811415920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019031313
- Practice address
- 2050 Larkin Ave Ste 100
Elgin, IL 60123-5888 - Phone
- (847) 584-2557
- NPI assigned
- Sep 8, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019031313 | IL | Primary |
Addresses
Primary practice location
2050 Larkin Ave Ste 100
Elgin, IL 60123-5888
Mailing address
7273 W Berwyn Ave
Chicago, IL 60656-1840
Other practice location 1
7273 W Berwyn Ave
Chicago, IL 60656-1840
Phone (312) 384-0502
Other practice location 2
1812 Broadway St
Melrose Park, IL 60160-2039
Phone (888) 955-6870
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019031313 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811415920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7273 W BERWYN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 LARKIN AVE STE 100",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235888",
"telephone_number": "847-584-2557"
}
],
"practiceLocations": [
{
"address_1": "7273 W Berwyn Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606561840",
"country_code": "US",
"telephone_number": "312-384-0502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1812 Broadway St",
"address_purpose": "LOCATION",
"city": "Melrose Park",
"state": "IL",
"postal_code": "601602039",
"country_code": "US",
"telephone_number": "888-955-6870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRINH",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019031313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.