Individual provider Active NPI

Kristi L. Hobbie, D.M.D.

  • Dentist
  • Clinton, IL
National Provider Identifier
1104294883
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030189 Issued in IL
Practice address
321 Illini Drive
Clinton, IL 61727
Phone
(217) 935-5397
Fax
(217) 935-4769
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030189 IL Primary

Addresses

Primary practice location

321 Illini Drive
Clinton, IL 61727

Mailing address

321 Illini Drive
Clinton, IL 61727
Phone (217) 935-5397

Other names 1

  • Kristi L. Schafer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.030189ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Family Dental Dentist PastSince Jun 6, 2021 Accepting new patients
England & Degrauwe PC PastSince Jun 6, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1104294883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 ILLINI DRIVE",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "61727",
            "telephone_number": "217-935-5397",
            "fax_number": "217-935-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ILLINI DRIVE",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "61727",
            "telephone_number": "217-935-5397",
            "fax_number": "217-935-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBIE",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "SCHAFER",
            "middle_name": "L.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.