Active NPI
Rebecca Kay Jans, DMD
- Dentist
- Chicago, IL
National Provider Identifier
1821659533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019032083
- Practice address
- 2316 W Madison St
Chicago, IL 60612-2228 - Phone
- (630) 801-0002
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019032083 | IL | Primary |
Addresses
Primary practice location
2316 W Madison St
Chicago, IL 60612-2228
Mailing address
2393 Stoughton Cir
Aurora, IL 60502-6478
Phone (815) 666-5310
Other practice location 1
181 N Hammes Ave
Joliet, IL 60435-6675
Phone (815) 725-4269
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | manager@allstardentalclinic.com | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190829001581 | IL | Order and Referring Only - Dentist | 2961730965 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jans Dental LLC | Current | Accepting new patients | |
| Agtel, LLC | Past | Accepting new patients | |
| Hammes Family Dental | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Plainfield, IL
- NPI 1841055233
-
- General Practice Dentistry
- Joliet, IL
- NPI 1013773746
-
- General Practice Dentistry
- Joliet, IL
- NPI 1487872784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1821659533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2393 STOUGHTON CIR",
"city": "AURORA",
"state": "IL",
"postal_code": "605026478",
"telephone_number": "815-666-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 W MADISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122228",
"telephone_number": "630-801-0002"
}
],
"practiceLocations": [
{
"address_1": "181 N Hammes Ave",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604356675",
"country_code": "US",
"telephone_number": "815-725-4269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANS",
"first_name": "REBECCA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032083",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "manager@allstardentalclinic.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2316 W Madison St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606122228",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.