Active NPI
Maggie Delashmutt, RDH
- Dental Hygienist
- Anna, IL
National Provider Identifier
1609741560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020018366
- Practice address
- 513 N Main St
Anna, IL 62906-1697 - Phone
- (618) 833-4471
- Fax
- (618) 833-4900
- NPI assigned
- Oct 9, 2025
- Last updated
- Oct 9, 2025
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020018366 | IL | Primary |
Addresses
Primary practice location
513 N Main St
Anna, IL 62906-1697
Mailing address
513 N Main St
Anna, IL 62906-1697
Phone (618) 833-4471
Other practice location 1
211 N Broadway
Goreville, IL 62939-2323
Phone (618) 995-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020018366 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1609741560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061697",
"telephone_number": "618-833-4471",
"fax_number": "618-833-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061697",
"telephone_number": "618-833-4471",
"fax_number": "618-833-4900"
}
],
"practiceLocations": [
{
"address_1": "211 N Broadway",
"address_purpose": "LOCATION",
"city": "Goreville",
"state": "IL",
"postal_code": "629392323",
"country_code": "US",
"telephone_number": "618-995-1002",
"fax_number": "618-995-1133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELASHMUTT",
"first_name": "MAGGIE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020018366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anna, IL
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty 515 N Main St)
- Deaconess Illinois Union County Hospital Inc (Deaconess Illinois Rural Health Clinic Anna)
- Deaconess Illinois Union County Hospital Inc (Deaconess Illinois Union County)
- Deaconess Illinois Union County Hospital Inc (Union County Long Term Care)
- Bonnie Donaire Del Rosario, PT
- Danuta Eva Delrio, MSED CRC LCPC
- Kaleigh Ella Deneal, MS, CCC-SLP
- Donald Owen Diemer, PA
- Lawanda Dodds, MS
- Shannon Doerr, DENTAL HYGIENIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.