NPIMap

Organization Active NPI

Kevin M. Artime DMD LTD

  • Dental Clinic/Center
  • Decatur, IL
National Provider Identifier
1295060903
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEVIN M. ARTIME DMD LTD
Practice address
1353 E Mound Rd
Suite 102
Decatur, IL 62526-9345
Phone
(217) 877-1601
Fax
(217) 877-7302
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. Kevin M Artime, DMDNPI 1770655540
Title
Dentist
Phone
(217) 877-1601

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1353 E Mound Rd
Suite 102
Decatur, IL 62526-9345

Mailing address

1353 E Mound Rd
Suite 102
Decatur, IL 62526-9345
Phone (217) 877-1601

National Provider Directory

National Provider Directory

Locations

1353 E Mound Rd
Ste 102
Decatur, IL 62526
Phone (217) 877-1601

Practitioners & affiliated clinicians

Practitioners 2

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1295060903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 E MOUND RD",
            "address_2": "SUITE 102",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269345",
            "telephone_number": "217-877-1601",
            "fax_number": "217-877-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 E MOUND RD",
            "address_2": "SUITE 102",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269345",
            "telephone_number": "217-877-1601",
            "fax_number": "217-877-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. ARTIME DMD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "ARTIME",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "217-877-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.