Active NPI
Schon Dental, LLC
- General Practice Dentistry
- Springfield, IL
National Provider Identifier
1306249248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SCHON DENTAL, LLC
- Practice address
- 2809 Mansion Road Suite D
Springfield, IL 62711 - Phone
- (217) 697-5190
- Fax
- (217) 483-7177
- NPI assigned
- Oct 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Renken
- Title
- Doctor/Owner
- Phone
- (217) 697-5190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2809 Mansion Road Suite D
Springfield, IL 62711
Mailing address
2809 Mansion Road Suite D
Springfield, IL 62711
Phone (217) 697-5190
National Provider Directory
National Provider DirectoryLocations
2809 Mansion Rd
Ste D
Springfield, IL 62711
Phone (217) 697-5190
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Springfield, IL
- NPI 1457070096
-
- General Practice Dentistry
- Springfield, IL
- NPI 1225542913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412640000000",
"number": "1306249248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 MANSION ROAD SUITE D",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62711",
"telephone_number": "217-697-5190",
"fax_number": "217-483-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 MANSION ROAD SUITE D",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62711",
"telephone_number": "217-697-5190",
"fax_number": "217-483-7177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHON DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-07",
"last_updated": "2014-10-07",
"status": "A",
"authorized_official_last_name": "RENKEN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "217-697-5190"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.