Katrina K Sweet, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-026932 Issued in IL

Practice address

9021 S Blackstone Ave
Chicago, IL 60619-7909

Phone

(773) 398-1413

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Katrina K Foster Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  General Practice

  NPD (past)
• Dental Assosiates

  • Dental Clinic/Center
  • Fond Du Lac, WI
  • NPI 1558710269
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1942372453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9021 S BLACKSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197909",
            "telephone_number": "773-398-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9021 S BLACKSTONE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197909",
            "telephone_number": "773-398-1413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7863 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105553",
            "country_code": "US",
            "telephone_number": "219-769-6636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 E Johnson St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549352856",
            "country_code": "US",
            "telephone_number": "209-924-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 E Sibley Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Dolton",
            "state": "IL",
            "postal_code": "604192912",
            "country_code": "US",
            "telephone_number": "708-849-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET",
        "first_name": "KATRINA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "1002046",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.003091",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12013584A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-026932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "FOSTER",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sweet Pea OT PLLC
• Sweet Tooth Doc LTD
• Sweet Tooth Odontologa LLC
• Brianna Sweet
• Katie Sweet
• Michelle Sweet, PHD
• Michelle Sweet, M.D.
• Nicole Sweetman, DNP, APRN, AGPCNP-BC
• Jonnelle Carmelita Sweetner, M.D.
• Cassidy Sweger, PT, DPT

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.

Verify at the official NPI Registry.