Individual provider Active NPI

Patricia Elaine Norton, DMD

  • Dentist
  • Decatur, IL
National Provider Identifier
1457373375
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
1099 W Wood St
Suite E
Decatur, IL 62522
Phone
(217) 422-1593
Fax
(217) 422-9819
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

1099 W Wood St
Suite E
Decatur, IL 62522

Mailing address

1099 W Wood St
Suite E
Decatur, IL 62522
Phone (217) 422-1593

Other names 1

  • Dr. Patricia Elaine Kwit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160414001592 IL Order and Referring Only - DentistPractitioner - Dentist 0648578229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457373375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 W WOOD ST",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62522",
            "telephone_number": "217-422-1593",
            "fax_number": "217-422-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 W WOOD ST",
            "address_2": "SUITE E",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62522",
            "telephone_number": "217-422-1593",
            "fax_number": "217-422-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTON",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KWIT",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.