Individual provider Active NPI

Kent Michael Jaremus, DDS

  • General Practice Dentistry
  • Lake Zurich, IL
National Provider Identifier
1922269729
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19A17629 Issued in IL
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

Updated by the provider on May 22, 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 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 Professional name

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
I20140522000708 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0648493569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19A17629ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.