Craig S. Kohler, DDS.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19-017568 Issued in IL

Practice address

1159 Wilmette Ave Ste 200
Wilmette, IL 60091-2649

Phone

(847) 251-9000

Fax

(847) 251-3052

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 10, 2016 through May 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Craig S Kohler DDS Mba Magd LTD

  • General Practice Dentistry
  • Wilmette, IL
  • NPI 1316100688
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861619017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 WILMETTE AVE STE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912649",
            "telephone_number": "847-251-9000",
            "fax_number": "847-251-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 WILMETTE AVE STE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912649",
            "telephone_number": "847-251-9000",
            "fax_number": "847-251-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "CRAIG",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-017568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard J Klapman, MD
• Adina Sue Kleiman, PH. D
• Emily Kline, OTR/L
• Gaye Desiree Koconis, CNM
• James W Kohl, DDS
• Andrew Eric Kohn, O.D.
• Lynett Marie Kopec-Mohr, ATR, LCPC
• Ewa Kopec, M.S., P.T.
• Amelia Eades Koplow, LCSW
• Isabella Christine Korsgard

• General Practice Dentistry in Wilmette, IL
• Providers in Wilmette, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.