Active NPI
Daniel Andrew Lovell, DMD, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Morton, IL
National Provider Identifier
1245774900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 019027723
- Practice address
- 320 E Jackson St
Morton, IL 61550-1616 - Phone
- (309) 266-6705
- Fax
- (309) 266-1242
- NPI assigned
- Dec 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 019027723 | IL | Primary |
Addresses
Primary practice location
320 E Jackson St
Morton, IL 61550-1616
Mailing address
320 E Jackson St
Morton, IL 61550-1616
Phone (309) 266-6705
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019027723 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481673600000",
"number": "1245774900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501616",
"telephone_number": "309-266-6705",
"fax_number": "309-266-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E JACKSON ST",
"city": "MORTON",
"state": "IL",
"postal_code": "615501616",
"telephone_number": "309-266-6705",
"fax_number": "309-266-1242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "DANIEL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DMD, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-14",
"last_updated": "2016-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "019027723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.