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Deactivated NPI 1033279203 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Masayuki Hamada , DDS

Dentist - General Practice • Addison, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Hamada has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2006
NPI Deactivation Date July 09, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Hamada, DDS was a registered Dentist - General Practice practicing in Addison, IL. Throughout an active medical career spanning 20 years, Dr. Hamada provided care at the practice location at 1201 W ARMY TRAIL BLVD until profile deactivation on 2026-07-09.

Practice Location & Contact Primary Location

Practice Address

1201 W Army Trail Blvd

Addison, IL 601013152

Telephone 6305438688
Fax 6305438692
Associated Practice Facility / Clinic
🏢 Ricardo Martinez, Md, Pc Facility NPI 1124009360

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Addison, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Addison, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1992922231

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 09, 2026

Record deactivated on July 09, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1201 W ARMY TRAIL BLVD, ADDISON, IL 601013152 (Tel: 6305438688)

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Updated Business Mailing Address July 08, 2007

Registered at 1201 W ARMY TRAIL BLVD, ADDISON, IL 601013152 (Tel: 6305438688)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH HAMADA, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

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Initial NPI Registration & Enumeration December 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033279203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: July 08, 2007
Deactivation Date: July 09, 2026

Mailing Address

1201 W Army Trail Blvd

Addison, IL 601013152

Phone: 6305438688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.