Kevin R Behn, D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

115 N Main St
Marissa, IL 62257-1341

Phone

(618) 295-3703

Fax

(619) 285-2636

NPI assigned

Feb 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497728430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622571341",
            "telephone_number": "618-295-3703",
            "fax_number": "619-285-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622571341",
            "telephone_number": "618-295-3703",
            "fax_number": "619-285-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHN",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "D.M.D., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lane Benedict, D.C.
• Delbert Arthur Bollmann, RPH
• Steven Earl Dorf, D.M.D.
• Dillon Lee Kaesberg, D.C.
• Marissa Community Unit School District 40

• General Practice Dentistry in Marissa, IL
• Providers in Marissa, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.