Buffalo Grove Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BUFFALO GROVE DENTAL CARE

Practice address

1161 McHenry Rd
Suite #201
Buffalo Grove, IL 60089-1373

Phone

(847) 634-6575

Fax

(847) 634-6578

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Kazanowski, D.D.S.NPI 1275683575

Title

Owner

Phone

(847) 634-6575

Specialties & licenses 1

Addresses

Other names 1

• ADDISON FAMILY DENTAL CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John D Kazanowski, D.D.S.

  • General Practice Dentistry
  • Buffalo Grove, IL
  • NPI 1275683575
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851441158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 MCHENRY RD",
            "address_2": "SUITE #201",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891373",
            "telephone_number": "847-634-6575",
            "fax_number": "847-634-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MCHENRY RD",
            "address_2": "SUITE #201",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891373",
            "telephone_number": "847-634-6575",
            "fax_number": "847-634-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO GROVE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZANOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-634-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADDISON FAMILY DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma Elizabeth Bryers, BCBA
• Leah Buan, PT
• Sheryl B Bucasas, PT
• Buffalo Grove Chiropractic and Wellness LLC
• Buffalo Grove Chiropractic Center, LTD
• Buffalo Grove Dental PLLC
• Buffalo Grove Medical Center
• Buffalo Grove Orthopaedic Associates SC
• Buffalo Grove Physical Therapy and Sports Rehabilitation PC
• Buffalo Grove Skilled Nursing Facility LLC

• General Practice Dentistry in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.