Active NPI
Alroy Clayton Concessao, DDS
- General Practice Dentistry
- Springfield, IL
National Provider Identifier
1427964014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019037335
- Practice address
- 2661 S Veterans Pkwy
Springfield, IL 62704-6401 - Phone
- (217) 793-2400
- NPI assigned
- Aug 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019037335 | IL | Primary |
Addresses
Primary practice location
2661 S Veterans Pkwy
Springfield, IL 62704-6401
Mailing address
114 E Spruce St
Chatham, IL 62629-1621
Phone (637) 702-7896
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philco Dental Group LLC Springfield West | General Practice | Past | Accepting new patients |
| A Gupta Dental PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Springfield, IL
- NPI 1407445422
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787356800000",
"number": "1427964014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E SPRUCE ST",
"city": "CHATHAM",
"state": "IL",
"postal_code": "626291621",
"telephone_number": "637-702-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2661 S VETERANS PKWY",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046401",
"telephone_number": "217-793-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCESSAO",
"first_name": "ALROY CLAYTON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-22",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019037335",
"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 Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.