William Putman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031510 Issued in IL

Practice address

2809 Mansion Rd Ste D
Springfield, IL 62711-6811

Phone

(217) 697-5190

NPI assigned

Nov 17, 2017

Last updated

Dec 6, 2018By the provider in NPPES

Sex

Male

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Putman Dental Inc

  • Dental Clinic/Center
  • Springfield, IL
  • NPI 1760134563
  Medicare reassignment NPD Authorized official
• Renken Dentistry PC

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1710162326
  NPD (past)
• Schon Dental, LLC

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1306249248
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1225542913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 COVENTRY PT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023389",
            "telephone_number": "217-652-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 MANSION RD STE D",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116811",
            "telephone_number": "217-697-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Mansion Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627116724",
            "country_code": "US",
            "telephone_number": "217-483-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie M Purdy, CCC-A
• Hannah Purseglove, M.D.
• David W Purves, PA
• Putman Dental Inc
• Blake Christopher Putman, DDS
• William D. Putman, M.D.
• Darryl Putzer, M.D.
• Kripakaran M Puvalai, MD
• Geunyeong Pyo, PH.D.
• Ayesha B Qadir, MD

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, 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 Dec 6, 2018; 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.