Gregory F. Kubik, LTD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GREGORY F. KUBIK, LTD

Practice address

490 Coventry LN
Suite 200
Crystal Lake, IL 60014-7548

Phone

(815) 455-7757

Fax

(815) 455-0905

NPI assigned

Oct 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Frank Kubik, D.D.S.NPI 1417033150

Title

President

Phone

(815) 455-7757

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Frank Kubik, D.D.S.

  • Dentist
  • Crystal Lake, IL
  • NPI 1417033150

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861578163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 COVENTRY LN",
            "address_2": "SUITE 200",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147548",
            "telephone_number": "815-455-7757",
            "fax_number": "815-455-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 COVENTRY LN",
            "address_2": "SUITE 200",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147548",
            "telephone_number": "815-455-7757",
            "fax_number": "815-455-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY F. KUBIK, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUBIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-455-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Norman Gravdal, R.PH., CGP
• Jesse Green
• Stephanie J Green
• Ziv Greenfeld, DOM, LIC AC
• Shira R Greenfield, LCPC
• Gregory V. Sierminski, D.D.S., P.C.
• Brandi Gries, LCPC
• Megan Paige Griesman, APRN
• Shareikka Lacole Griffin, PA-C
• James P Grimm, LCPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Orthodontics and Dentofacial Orthopedics 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.