Organization Active NPI

Kenneth a Holz DDS PC

  • General Practice Dentistry
  • Vernon Hills, IL
National Provider Identifier
1881765626
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KENNETH A HOLZ DDS PC
Practice address
1 E Phillip Rd Ste 103
Vernon Hills, IL 60061-1858
Phone
(847) 680-0125
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Albert Holz, DDSNPI 1174694905
Title
President
Phone
(847) 680-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

1 E Phillip Rd Ste 103
Vernon Hills, IL 60061-1858

Mailing address

1 E Phillip Rd Ste 103
Vernon Hills, IL 60061-1858
Phone (847) 680-0125

National Provider Directory

National Provider Directory

Locations

1 E Phillip Rd
Ste 103
Vernon Hills, IL 60061
Phone (847) 680-0125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881765626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E PHILLIP RD STE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611858",
            "telephone_number": "847-680-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E PHILLIP RD STE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611858",
            "telephone_number": "847-680-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A HOLZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-680-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • 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.