Active NPI
Jane H Kim, D.D.S., M.S.
- Periodontics
- Arlington Heights, IL
National Provider Identifier
1841444270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 021.002337
- Practice address
- 1120 E Central Rd
Arlington Heights, IL 60005-3220 - Phone
- (847) 890-4444
- NPI assigned
- Nov 12, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.097041 | IL | |
| Periodontics | 1223P0300X | 021.002337 | IL | Primary |
Addresses
Primary practice location
1120 E Central Rd
Arlington Heights, IL 60005-3220
Mailing address
1120 E Central Rd
Arlington Heights, IL 60005-3220
Phone (847) 890-4444
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.097041 | IL | MD | Dentist |
| 021.002337 | IL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathy Pawlusiewicz DDS. Dba Prospect Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Prospect Dental
- General Practice Dentistry
- Arlington Heights, IL
- NPI 1265922355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1841444270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053220",
"telephone_number": "847-890-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053220",
"telephone_number": "847-890-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JANE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.097041",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "021.002337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.