DR. KENNY MATEE GOMOLPLITINANT (NPI# 1184008799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184008799 |
| Entity Type | Individual |
| Full Name | DR. KENNY MATEE GOMOLPLITINANT |
| Credential | D.M.D. |
| Practice Address |
939 W North Ave #890 Chicago IL 60642-7138 |
| Mailing Address |
1269 Mallard Ln Hoffman Estates IL 60192-4507 |
| Practice Telephone | 8189835066 |
| Mailing Telephone | 8189835066 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 319019495 | IL | Dental Providers |
| Y | 122300000X | Dentist | 019030276 | IL | Dental Providers |
| Street Address |
939 W NORTH AVE #890 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932217627 | Kristofer Cooper | Physical Therapist | 939 W North Ave, Chicago, IL 60622-7138 | 2006-08-25 |
| 1154977965 | David Goodman | Physical Therapist | 939 W North Ave, Chicago, IL 60642-7138 | 2019-08-16 |
| 1861969123 | Chelsea M Stegman | Dietitian, Registered | 939 W North Ave, Chicago, IL 60642-7138 | 2018-10-25 |
| 1093260135 | Soham Rajpara | Dentist | 939 W North Ave, 890, Chicago, IL 60642-7138 | 2016-08-18 |
| 1336523943 | Abasin Safi | Dentist | 939 W North Ave, #890, Chicago, IL 60642-7138 | 2015-07-13 |
| 1457730822 | Jessica Dogert | Dietitian, Registered | 939 W North Ave, Chicago, IL 60642-7138 | 2015-05-19 |
| 1235579830 | Dalia Marouf | Dentist | 939 W North Ave, Suite 890, Chicago, IL 60642-7138 | 2013-06-27 |
| 1710326202 | Elanor Neff | Behavioral Analyst | 939 W North Ave, Ste 750, Chicago, IL 60642-7138 | 2013-06-18 |
| 1629417274 | Dhaval Mahesh Patel | Dentist | 939 W North Ave, Chicago, IL 60642-7138 | 2013-06-17 |
| 1720426703 | Juliana Denise Arabia | Dentist | 939 W North Ave, Chicago, IL 60642-7138 | 2013-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.