Timothy C Lonergan, DMD

Key facts

NPI

1215026992

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

Practice address

120 N Main St
Chatham, IL 62629-1347

Phone

(217) 483-3545

Fax

(217) 483-5254

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215026992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291347",
            "telephone_number": "217-483-3545",
            "fax_number": "217-483-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626291347",
            "telephone_number": "217-483-3545",
            "fax_number": "217-483-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "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": []
}

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• Julianna Kessler
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• Lauren D Lawson, PHARMD
• Margaret Mackenzie Lee, M.S. CCC-SLP/L
• Madi Ashli Loveall
• Jessalyn Elaine Loy, MS,CCC-SLP
• Kristin Lenee Lucas, MS, CCC-SLP
• Lusk Services PC
• Marissa Paige Mahan, DNP, FNP-BC

All providers in Chatham, IL · General Practice Dentistry in Illinois