DR. DAVID PAUL KUMAMOTO D.D.S.
NPI 1417022955
Dentist - General Practice in Chicago, IL

Q: What is David Kumamoto's NPI number?

The NPI number for David Kumamoto is 1417022955. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is David Kumamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for David Kumamoto was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 21, 2006PECOS Enrolled

6424 N NORTHWEST HWY, CHICAGO, IL 60631(773) 763-5030(847) 965-4603 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. David Paul Kumamoto D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID PAUL KUMAMOTO D.D.S. (NPI 1417022955) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (19A-15501) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417022955

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DAVID PAUL KUMAMOTOCredential: D.D.S.

Location Address6424 N NORTHWEST HWYChicago, IL 60631-1450

Mailing Address6424 Northwest HighwayChicago, IL 60631-1450 · (773) 763-5030 · Fax (312) 583-1825

Phone(773) 763-5030

Fax(847) 965-4603

Sole ProprietorYes

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 14, 2015

✔ NPI 1417022955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 19A-15501

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6424 N NORTHWEST HWY, Chicago, IL 60631

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Paul Kumamoto D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD ALEXANDER PODRAZA DDS

Dentist

6424 N NORTHWEST HWY
CHICAGO, IL 60631

Cook County (773) 631-3018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Kumamoto's NPI number?

The NPI number for David Kumamoto is 1417022955. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is David Kumamoto located?

David Kumamoto practices at 6424 N Northwest Hwy, Chicago, IL 60631. The listed phone number is (773) 763-5030.

What is David Kumamoto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Kumamoto enrolled in Medicare?

Yes. David Kumamoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Kumamoto was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.