Active NPI
Eldon G. Barrowes
- Endodontics
- Jacksonville, IL
National Provider Identifier
1295068856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 21001460
- Practice address
- 1515 W Walnut St
BLDG. #3
Jacksonville, IL 62650-1150 - Phone
- (217) 479-0900
- Fax
- (217) 479-0990
- NPI assigned
- Sep 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 21001460 | IL | Primary |
Addresses
Primary practice location
1515 W Walnut St
BLDG. #3
Jacksonville, IL 62650-1150
Mailing address
1515 W Walnut St
BLDG. #3
Jacksonville, IL 62650-1150
Phone (217) 479-0900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21001460 | IL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eldon G Barrowes DDS & Assoc PC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1295068856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W WALNUT ST",
"address_2": "BLDG. #3",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501150",
"telephone_number": "217-479-0900",
"fax_number": "217-479-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W WALNUT ST",
"address_2": "BLDG. #3",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626501150",
"telephone_number": "217-479-0900",
"fax_number": "217-479-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARROWES",
"first_name": "ELDON",
"middle_name": "G.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "21001460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.