Kedzie Dentistry LLC
NPI 1871455832 · General Practice Dentistry · Chicago, IL
Kedzie Dentistry LLC is a General Practice Dentistry organization in Chicago, IL (NPI 1871455832).
Provider details
- NPI number
- 1871455832
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Prasanth Dommaraju, Director(630) 247-7216
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-28
- Last updated
- 2025-11-28
- Certified
- 2025-11-28
Frequently asked questions
- What is Kedzie Dentistry LLC's NPI number?
- Kedzie Dentistry LLC's National Provider Identifier (NPI) is 1871455832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kedzie Dentistry LLC?
- Kedzie Dentistry LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kedzie Dentistry LLC located?
- Kedzie Dentistry LLC's practice location on file with NPPES is 5430 S Kedzie Ave, Chicago, IL 60632-2620.
- What is Kedzie Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Kedzie Dentistry LLC is (773) 295-2523.
- Who is the authorized official for Kedzie Dentistry LLC?
- The authorized official listed on Kedzie Dentistry LLC's NPPES record is Prasanth Dommaraju, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kedzie Dentistry LLC's NPI active?
- Yes — Kedzie Dentistry LLC's NPI (1871455832) is active in the NPPES registry as of the last update on 2025-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.