Active NPI
Eric Michael Wherley, D.M.D.
- General Practice Dentistry
- Decatur, IL
National Provider Identifier
1679887293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019028398
- Practice address
- 1353 E Mound Rd
Suite 201
Decatur, IL 62526-9345 - Phone
- (217) 877-2172
- NPI assigned
- Aug 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019028398 | IL | Primary |
Addresses
Primary practice location
1353 E Mound Rd
Suite 201
Decatur, IL 62526-9345
Mailing address
1353 E Mound Rd
Suite 201
Decatur, IL 62526-9345
Phone (217) 877-2172
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 |
|---|---|---|---|
| 019028398 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas E. Davey, D.M.D., P.C. | General Practice | 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.
-
- General Practice Dentistry
- Decatur, IL
- NPI 1619050093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1679887293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 E MOUND RD",
"address_2": "SUITE 201",
"city": "DECATUR",
"state": "IL",
"postal_code": "625269345",
"telephone_number": "217-877-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 E MOUND RD",
"address_2": "SUITE 201",
"city": "DECATUR",
"state": "IL",
"postal_code": "625269345",
"telephone_number": "217-877-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHERLEY",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019028398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.