Martha K Basile, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

110 E Washington St
Marengo, IL 60152-3107

Phone

(815) 568-1202

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Liliana Paz DDS PLLC

  • General Practice Dentistry
  • Marengo, IL
  • NPI 1164187308
  NPD (past)
• Marengo Dental

  • General Practice Dentistry
  • Marengo, IL
  • NPI 1760608731
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053447458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E WASHINGTON ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601523107",
            "telephone_number": "815-568-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E WASHINGTON ST",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601523107",
            "telephone_number": "815-568-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASILE",
        "first_name": "MARTHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bankord Chiropractic, PLLC
• Jace Bankord, DC
• Luke Bankord, BA, DC
• Matthew W Bankord, DC
• Marie Barnhart, M.ED., LCPC, NCC
• Kelly Beck, LCPC
• Brandt Pharmacy Inc
• Broadstep Academy-Illinois Inc
• Cristian Carbajal
• Jerry Ward Cargill, MD

• All providers in Marengo, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.