Active NPI
Jennifer Ann Kolin, DDS
- Dentist
- Highland Park, IL
National Provider Identifier
1982123790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.035144
- Practice address
- PO Box 1340
Highland Park, IL 60035-7340 - Phone
- (510) 734-4327
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS101761 | CA | |
| Dentist | 122300000X | 019.035144 | IL | Primary |
Addresses
Primary practice location
PO Box 1340
Highland Park, IL 60035-7340
Mailing address
PO Box 1340
Highland Park, IL 60035-7340
Phone (510) 734-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101761 | CA | MD | Dentist |
| 019.035144 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1982123790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1340",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600357340",
"telephone_number": "510-734-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1340",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600357340",
"telephone_number": "510-734-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLIN",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS101761",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.035144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.