Active NPI
April Kennedy, DDS
- Dentist
- Springfield, IL
National Provider Identifier
1487882031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027975
- Practice address
- 2965 S Macarthur Blvd
Suite a
Springfield, IL 62704-5086 - Phone
- (217) 698-1717
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019027975 | IL | Primary |
Addresses
Primary practice location
2965 S Macarthur Blvd
Suite a
Springfield, IL 62704-5086
Mailing address
2814 Wordsworth Dr
Springfield, IL 62711-4025
Phone (217) 494-7518
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529002604 | IL | Order and Referring Only - Dentist | 3577884782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Illinois, P.C. | 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.
-
dba Springfield Dental Care
- General Practice Dentistry
- Springfield, IL
- NPI 1952523284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1487882031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 WORDSWORTH DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627114025",
"telephone_number": "217-494-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 S MACARTHUR BLVD",
"address_2": "SUITE A",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627045086",
"telephone_number": "217-698-1717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "APRIL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027975",
"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 Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.