NPPES file of Aug 9, 2026

Kevin R. Wallace, DMD

General Practice Dentistry · Chicago, IL

Kevin R. Wallace, DMD is a general practice dentistry with a practice address in Chicago, Illinois, and NPI 1053423285, issued on Sep 1, 2006. Check the license (Illinois 019022339, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053423285
Name
Kevin R. Wallace
Credential
DMD
Primary taxonomy
General Practice Dentistry 1223G0001X
License numbers
019022339 IL
019-022339 IL
Self-reported in NPPES; status is on the state search
Practice location
150 E Huron St, Chicago, IL 60611
Phone
(312) 676-9893
Enumerated
Sep 1, 2006
Record last updated
Jan 19, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(815) 744-7059
Medicare enrollment
Enrolled (PECOS I20160620000860); may accept Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest general practice dentistry records → All 5,276 in Illinois → Look up another NPI →

Also registered at 150 E Huron St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Tiffany Adkins, APN, FNP-BCFamily Nurse Practitioner1710433800
  2. Sarita Aguirre, MS, RDN, LDNRegistered Dietitian1891238119
  3. Nunzio Ambrosino, D.C.Orthopedic Chiropractor1194762112
  4. Brian Anderson, DC, MPHChiropractor1811903354
  5. Joseph Ayres, LSWSocial Worker1154280204
  6. Robert BradyMassage Therapist1306235866

Verify Kevin R. Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 019022339    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Dental Sleep Center Richard A Craig Dds LtdChicago, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kevin R. Wallace among 5,276 general practice dentistry records in Illinois

Kevin R. Wallace, DMD is one of 5,276 general practice dentistry records with a practice address in Illinois. 64% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.

  • NPI issued2006 · 4% of these records are older, 68% newer
  • In a Medicare fileYes · 64% of these records are
  • In the CMS Doctors and Clinicians fileYes · under 1% of these records are
  • Graduated1990 · median 2008 among the 26 with a school on file
  • Record last updated2021 · 75% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,148 general practice dentistry records list a practice address in Chicago

They are 1,148 of the 63,379 NPPES records with a practice address in Chicago, and 5,276 general practice dentistry records in Illinois.

All 5,276 in Illinois → Every provider in Chicago → General Practice Dentistry nationwide →

The 8 general practice dentistry records with the nearest ZIP codes

  1. Nancy Block, D.D.S.Chicago, IL 606111700962750
  2. Alan Boghosian, DDSChicago, IL 606111285637272
  3. Kalee Coakley, D.D.S.Chicago, IL 606111285649087
  4. Steven Fishman, DDSChicago, IL 606111700808292
  5. Christine Garza, D.D.SChicago, IL 606111760539712
  6. Peter Hurst, BDS, MS, MSCChicago, IL 606111710047667
  7. Mark Hutten, D.D.S., M.S.Chicago, IL 606111235289893
  8. Jennifer Kobes, DDSChicago, IL 606111861564379

Common questions

What is Kevin R. Wallace, DMD's NPI number?

Kevin R. Wallace, DMD's National Provider Identifier (NPI) is 1053423285, issued on Sep 1, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kevin R. Wallace, DMD located?

The NPPES record lists a practice address at 150 E Huron St, Chicago, IL, 60611. Phone: (312) 676-9893. Providers update this record themselves, so call before visiting.

How can I verify Kevin R. Wallace, DMD's license?

NPPES lists Illinois license number 019022339, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.