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KESIA KEIKO ASAMI DE SOUZA DDS
NPI 1629645908
Dentist - General Practice in Chicago, IL

Active since June 07, 2021
2340 N CALIFORNIA AVE STE A, CHICAGO, IL 60647(773) 687-8377 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2021, Jun 7, 2021 (2 updates tracked since 2021).

About Kesia Keiko Asami De Souza Dds NPPES

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

KESIA KEIKO ASAMI DE SOUZA DDS (NPI 1629645908) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.033113) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1629645908
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameKESIA KEIKO ASAMI DE SOUZACredential: DDS
Location Address2340 N CALIFORNIA AVE STE AChicago, IL 60647-6622
Mailing Address436 E North Water St Unit DChicago, IL 60611-5559 · (312) 881-9199
Phone(773) 687-8377
Sole ProprietorNo
Enumeration DateJune 7, 2021
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 12, 2021
✔ NPI 1629645908 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 · 019.033113
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.
2340 N CALIFORNIA AVE STE A, Chicago, IL 60647
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES

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

MARIAM SAAD YOSEF TAWADROUS DMD
Dentist
2340 N CALIFORNIA AVE STE A
CHICAGO, IL 60647
Cook County (773) 365-9309

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 Kesia Keiko Asami De Souza's NPI number?

The NPI number for Kesia Keiko Asami De Souza is 1629645908. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Kesia Keiko Asami De Souza located?

Kesia Keiko Asami De Souza practices at 2340 N California Ave Ste A, Chicago, IL 60647. The listed phone number is (773) 687-8377.

What is Kesia Keiko Asami De Souza's specialty?

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

What insurance does Kesia Keiko Asami De Souza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Kesia Keiko Asami De Souza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kesia Keiko Asami De Souza was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.