Geoffrey Andrews Partlow II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1001 N Beadle Dr
Suite 1
Carbondale, IL 62901-1150

Phone

(618) 457-2626

Fax

(618) 549-1512

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 3, 2017 through Jan 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063621902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N BEADLE DR",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011150",
            "telephone_number": "618-457-2626",
            "fax_number": "618-549-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N BEADLE DR",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629011150",
            "telephone_number": "618-457-2626",
            "fax_number": "618-549-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTLOW",
        "first_name": "GEOFFREY",
        "middle_name": "ANDREWS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Allotey Pappoe, MD
• Anil N Parikh, M.D.
• Rupal Parmar, M.D.
• Nicole L Parmly, P.T.
• Carrie Elaine Parr, LCSW
• Meleah Paschall, LPC
• Melissa Patil, DNP, APRN, PMHNP-BC
• M Hal Pearlman, M.D.
• Precious N Pedersen, MD
• Pediatric Group LLC

• General Practice Dentistry in Carbondale, IL
• Providers in Carbondale, IL by specialty
• General Practice Dentistry 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.