Jurgens & Kneezel LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JURGENS & KNEEZEL LTD

Practice address

334 W Main Street
Decatur, IL 62522

Phone

(217) 428-4683

Fax

(217) 428-4738

NPI assigned

May 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Carl E Jurgens, DDS

Title

Secretary Treasurer

Phone

(217) 428-4685

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033328349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 W MAIN STREET",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62522",
            "telephone_number": "217-428-4683",
            "fax_number": "217-428-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W MAIN STREET",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62522",
            "telephone_number": "217-428-4683",
            "fax_number": "217-428-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURGENS & KNEEZEL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JURGENS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "217-428-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Noel Jones, M.D.
• Carla A Jordan
• Carol Faye Josefson, MA, LCPC
• Jaylon Christopher Joyner
• JSP Lap, LLC
• Alan Russell Jurgens, DDS
• Carl Edward Jurgens, DDS
• Daniel Patrick Jurgens, DMD
• K M B S C
• Jeanne Marie Kairouz, MD

• Oral and Maxillofacial Surgery (Dentist) in Decatur, IL
• Providers in Decatur, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.