Organization Active NPI

Thomas E. Standley, DMD, PC

  • General Practice Dentistry
  • Champaign, IL
National Provider Identifier
1275703175
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
023924 Issued in IL
Legal business name
THOMAS E. STANDLEY, DMD, PC
Practice address
30 E Green St
Suite 1
Champaign, IL 61820-7905
Phone
(217) 355-5600
Fax
(217) 355-4550
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Thomas E Standley, DMDNPI 1114065356
Title
Owner/Operator
Phone
(217) 355-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 023924 IL Primary

Addresses

Primary practice location

30 E Green St
Suite 1
Champaign, IL 61820-7905

Mailing address

30 E Green St
Suite 1
Champaign, IL 61820-7905
Phone (217) 355-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1275703175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E GREEN ST",
            "address_2": "SUITE 1",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207905",
            "telephone_number": "217-355-5600",
            "fax_number": "217-355-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E GREEN ST",
            "address_2": "SUITE 1",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207905",
            "telephone_number": "217-355-5600",
            "fax_number": "217-355-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. STANDLEY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "STANDLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "217-355-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "023924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.