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Alexandra Kidd

Dentist - General Practice β€’ Chicago, IL

Active NPI 1174469514 Individual Practitioner Female Practitioner
Practice location in NPPES

9521 S Western Ave
Chicago, IL 606431013

Call 7733449120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9521 S Western Ave

Chicago, IL 606431013

Telephone 7733449120
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Bloomingdale, IL; Crestwood, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

1,148 active clinicians are listed under Dentist - General Practice with a practice address in Chicago, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.1% of these 1,148 clinicians have the CMS telehealth indicator.

0% of these 1,148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019.037326

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

444 W Army Trail Rd

Bloomingdale, IL 601081379

Phone: 6303879764

13442 Cicero Ave

Crestwood, IL 604181430

Phone: 7083934911

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1578305025

Doctor of Dental Medicine

Dr. Kevin Wilson , DDS

Dentist - General Practice

NPI 1427548833

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2026

Dentist (license number reported to NPPES: IL 019.037326)

βœ…
NPI Profile Active April 27, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 27, 2026

Registered at 9521 S WESTERN AVE, CHICAGO, IL 606431013 (Tel: 7733449120)

πŸ“
Business Mailing Address (Initial Record) April 27, 2026

Registered at 5521 N WASHINGTON ST, CHICAGO, IL 606561500

πŸ‘€
Provider Name / Credentials (Initial Record) April 27, 2026

Recorded as ALEXANDRA KIDD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 27, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174469514
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2026
Last Update: July 18, 2026
Sole Proprietor: No

Other Dentist - General Practices in Chicago

All Dentist - General Practices in Chicago

Mailing Address

5521 N Washington St

Chicago, IL 606561500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.