NPIMap

Organization Active NPI

Brimfield Family Dentistry, P.C.

  • Dental Clinic/Center
  • Brimfield, IL
National Provider Identifier
1568072668
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRIMFIELD FAMILY DENTISTRY, P.C.
Practice address
232 E Knoxville St
Brimfield, IL 61517-8103
Phone
(309) 320-8750
Fax
(309) 233-2023
NPI assigned
Aug 4, 2020
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Clint Martin, DMDNPI 1588928006
Title
President
Phone
(309) 396-3123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

232 E Knoxville St
Brimfield, IL 61517-8103

Mailing address

232 E Knoxville St
Brimfield, IL 61517-8103
Phone (309) 396-3123

National Provider Directory

National Provider Directory

Locations

232 E Knoxville St
Brimfield, IL 61517
Phone (309) 320-8750

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1568072668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E KNOXVILLE ST",
            "city": "BRIMFIELD",
            "state": "IL",
            "postal_code": "615178103",
            "telephone_number": "309-396-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E KNOXVILLE ST",
            "city": "BRIMFIELD",
            "state": "IL",
            "postal_code": "615178103",
            "telephone_number": "309-320-8750",
            "fax_number": "309-233-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIMFIELD FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-396-3123",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brimfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.