Individual provider Active NPI

William V Kats, DDS

  • General Practice Dentistry
  • Downers Grove, IL
National Provider Identifier
1891903761
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-024420 Issued in IL
Practice address
5155 Mochel Dr
Downers Grove, IL 60515-5065
Phone
(630) 968-1544
Fax
(630) 968-6037
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-024420 IL Primary

Addresses

Primary practice location

5155 Mochel Dr
Downers Grove, IL 60515-5065

Mailing address

5155 Mochel Dr
Downers Grove, IL 60515-5065
Phone (630) 968-1544

Other identifiers 1

IdentifierTypeStateIssuer
1497890131OtherILORGANIZATIONAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000789 IL Order and Referring Only - DentistPractitioner - Dentist 7315243763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-024420ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Dental Associates PC Past Accepting new patients
Midwest Anesthesia Partners, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1891903761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 MOCHEL DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155065",
            "telephone_number": "630-968-1544",
            "fax_number": "630-968-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 MOCHEL DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155065",
            "telephone_number": "630-968-1544",
            "fax_number": "630-968-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATS",
        "first_name": "WILLIAM",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-024420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1497890131",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.