Active NPI
Robert Douglas Dent, D.C.
- Chiropractor
- New Baden, IL
National Provider Identifier
1013913227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-004870
- Practice address
- 701 E Hanover St
New Baden, IL 62265-1908 - Phone
- (618) 588-4976
- Fax
- (618) 588-4926
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-004870 | IL | Primary |
Addresses
Primary practice location
701 E Hanover St
New Baden, IL 62265-1908
Mailing address
701 E Hanover St
New Baden, IL 62265-1908
Phone (618) 588-4976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482002 | Other | IL | BCBS |
| 038-004870 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000762 | IL | Practitioner - Chiropractic | 4284828500 | Practice locations: New Baden, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
701 E Hanover St
New Baden, IL 62265-1939
Phone (618) 588-4976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela Rout DC | Chiropractor | Past | Accepting new patients |
| R. Douglas Dent | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- New Baden, IL
- NPI 1730230293
-
- Chiropractor
- New Baden, IL
- NPI 1861540247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1013913227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E HANOVER ST",
"city": "NEW BADEN",
"state": "IL",
"postal_code": "622651908",
"telephone_number": "618-588-4976",
"fax_number": "618-588-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E HANOVER ST",
"city": "NEW BADEN",
"state": "IL",
"postal_code": "622651908",
"telephone_number": "618-588-4976",
"fax_number": "618-588-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-004870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1482002",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038-004870",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Baden, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.