Individual provider Active NPI

Kevin Alperstein, D.D.S.

  • General Practice Dentistry
  • Belvidere, IL
National Provider Identifier
1922012715
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
860 Biester Dr
202
Belvidere, IL 61008-4053
Phone
(815) 544-2925
Fax
(815) 547-6732
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

860 Biester Dr
202
Belvidere, IL 61008-4053

Mailing address

860 Biester Dr
202
Belvidere, IL 61008-4053
Phone (815) 544-2925

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
I20160519002089 IL Order and Referring Only - DentistPractitioner - Dentist 1759670474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019021683ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922012715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "202",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053",
            "telephone_number": "815-544-2925",
            "fax_number": "815-547-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BIESTER DR",
            "address_2": "202",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610084053",
            "telephone_number": "815-544-2925",
            "fax_number": "815-547-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERSTEIN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

Verify at the official NPI Registry.