Active NPI
David Langdon Varble, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jerseyville, IL
National Provider Identifier
1336388297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021.000947
- Practice address
- 801 W County Rd
Jerseyville, IL 62052-2579 - Phone
- (618) 498-2232
- NPI assigned
- Feb 16, 2009
- Last updated
- Feb 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.015340 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021.000947 | IL | Primary |
Addresses
Primary practice location
801 W County Rd
Jerseyville, IL 62052-2579
Mailing address
801 W County Rd
Jerseyville, IL 62052-2579
Phone (618) 498-2232
Other names 1
- Dr. David Langdon Varble
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 |
|---|---|---|---|
| 019.015340 | IL | MD | Dentist |
| 021.000947 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varbleorthodontics, P.C. | Orthodontics and Dentofacial Orthopedics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Jerseyville, IL
- NPI 1194157354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1336388297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W COUNTY RD",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522579",
"telephone_number": "618-498-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W COUNTY RD",
"city": "JERSEYVILLE",
"state": "IL",
"postal_code": "620522579",
"telephone_number": "618-498-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARBLE",
"first_name": "DAVID",
"middle_name": "LANGDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-16",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.015340",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021.000947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "VARBLE",
"middle_name": "LANGDON",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jerseyville, IL
- Tri-County Counseling Center
- Corbin Henry James Tutterow, BEHAVIOR TECHNICIAN
- Unlimited Development, Inc. (UDI 11 Jerseyville Manor)
- Batool N Vali, MD
- Ethan Vandersand
- Patrick Ray Varble, DMD
- Varbleorthodontics, P.C.
- Victorious Speech & Language Therapy PLLC
- Wal-Mart Stores, Inc (Vision Center 30-0253)
- Walgreen Co (Walgreens #09824)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.