{"npi":"1073103370","type":"NPI-1","status":"active","name":{"display":"Kai Codner DDS","other":[],"first":"KAI","last":"CODNER","credential":"DDS"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":false,"state":"IL","license":"019033234"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"IL","license":"021003452"}]},"addresses":[{"purpose":"LOCATION","street_1":"6050 BRYNWOOD DR STE 102","city":"ROCKFORD","state":"IL","postal_code":"611146579","country_code":"US","phone":"8158770694"},{"purpose":"MAILING","street_1":"801 S PAULINA ST","city":"CHICAGO","state":"IL","postal_code":"606127210","country_code":"US","phone":"3129967460"}],"license":{"state":"IL","number":"021003452"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210701000405","type_code":"33-19","type_desc":"ORDER AND REFERRING ONLY - ORAL SURGERY","state":"IL","pac_id":"5991106619"}]},"enumeration_date":"2021-01-20","last_updated":"2025-07-22","_meta":{"source":"NPPES","snapshot_date":"2025-07-22","doc_url":"https://findmynpi.com/api"}}