Michael D. Danner, D.D.S., LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-023984 Issued in IL

Legal business name

MICHAEL D. DANNER, D.D.S., LLC

Practice address

1426 Valle Vista Blvd
Pekin, IL 61554-6224

Phone

(309) 346-2145

Fax

(309) 346-6330

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Danner, DDSNPI 1104110725

Title

Owner

Phone

(309) 346-2145

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael David Danner, D.D.S.

  • Dentist
  • Pekin, IL
  • NPI 1104110725
  NPD (past) Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1568493591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 VALLE VISTA BLVD",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546224",
            "telephone_number": "309-346-2145",
            "fax_number": "309-346-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 VALLE VISTA BLVD",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546224",
            "telephone_number": "309-346-2145",
            "fax_number": "309-346-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. DANNER, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "DANNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-346-2145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-023984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise M Medearis, DNP, APRN, FNP
• Sarah Melcher
• Julie Mendell
• Jennifer Ann Meyer, LMT-MLD
• Andrew E Miars
• Dory Mickna, FNP-C
• Midwest Anesthesia Consultants, S.C.
• Midwest Eye Care P.C.
• Midwest Eye Care PC
• Miller Family Medicine, SC

• General Practice Dentistry in Pekin, IL
• Providers in Pekin, 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 May 31, 2011; 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.