Active NPI
Kevin E. Kays, DMD
- Dentist
- Marion, IL
National Provider Identifier
1881647287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-15730
- Practice address
- 11806 Khoury League Rd
Marion, IL 62959-7739 - Phone
- (618) 998-0820
- NPI assigned
- May 18, 2006
- Last updated
- Feb 19, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-15730 | IL | Primary |
Addresses
Primary practice location
11806 Khoury League Rd
Marion, IL 62959-7739
Mailing address
205 N Main St
Harrisburg, IL 62946-1256
Phone (618) 998-0820
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-15730 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health & Emergency Services, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pulaski Clinic
- Federally Qualified Health Center (FQHC)
- Pulaski, IL
- NPI 1063404523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1881647287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N MAIN ST",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629461256",
"telephone_number": "618-998-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11806 KHOURY LEAGUE RD",
"city": "MARION",
"state": "IL",
"postal_code": "629597739",
"telephone_number": "618-998-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYS",
"first_name": "KEVIN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-15730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.