Individual provider Active NPI

Jennifer Kobes, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1861564379
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-023289 Issued in IL
Practice address
845 N Michigan Ave Ste 951W
Chicago, IL 60611-2211
Phone
(312) 787-2131
Fax
(312) 787-9226
NPI assigned
Nov 14, 2006
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 01-025279 IL
General Practice Dentistry 1223G0001X 019-023289 IL Primary

Addresses

Primary practice location

845 N Michigan Ave Ste 951W
Chicago, IL 60611-2211

Mailing address

845 N. Michigan Ave.
Suite 951W
Chicago, IL 60611-2211
Phone (312) 787-2131

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

LicenseStateTypeSpecialty
01-025279ILMDGeneral Practice Dentistry
019-023289ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Smile Studio LLC General Practice CurrentSince Feb 23, 2025 Accepting new patients

Locations

845 N Michigan Ave
Ste 951W
Chicago, IL 60611
Phone (312) 787-2131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1861564379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N. MICHIGAN AVE.",
            "address_2": "SUITE 951W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112211",
            "telephone_number": "312-787-2131",
            "fax_number": "312-787-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 951W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112211",
            "telephone_number": "312-787-2131",
            "fax_number": "312-787-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBES",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01-025279",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-023289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 10, 2025; 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.