Individual provider Active NPI

Rebecca Kay Jans, DMD

  • Dentist
  • Chicago, IL
National Provider Identifier
1821659533
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019032083 Issued in IL
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

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829001581 IL Order and Referring Only - DentistPractitioner - Dentist 2961730965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jans Dental LLC Current Accepting new patients
Agtel, LLC PastSince Feb 25, 2024 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.

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

Verify at the official NPI Registry.