Active NPI
Kent Michael Jaremus, DDS
- General Practice Dentistry
- Lake Zurich, IL
National Provider Identifier
1922269729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19A17629
- Practice address
- 245 N Rand Rd
Lake Zurich, IL 60047-2278 - Phone
- (847) 438-3530
- Fax
- (847) 438-3542
- NPI assigned
- Jun 24, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19A17629 | IL | Primary |
Addresses
Primary practice location
245 N Rand Rd
Lake Zurich, IL 60047-2278
Mailing address
245 N Rand Rd
Lake Zurich, IL 60047-2278
Phone (847) 438-3530
Other names 1
- Dr. Kent Michael Jaremus
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140522000708 | IL | Order and Referring Only - Oral Surgery | 0648493569 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19A17629 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Age Dental Associates | 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 and National Provider Directory roles.
-
- Dentist
- Lake Zurich, IL
- NPI 1376610659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1922269729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472278",
"telephone_number": "847-438-3530",
"fax_number": "847-438-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472278",
"telephone_number": "847-438-3530",
"fax_number": "847-438-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAREMUS",
"first_name": "KENT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19A17629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENT",
"last_name": "JAREMUS",
"middle_name": "MICHAEL",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.