Cedar Point Dental Center LTD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CEDAR POINT DENTAL CENTER LTD

Practice address

2904 Greenbriar Dr
Springfield, IL 62704

Phone

(217) 793-9550

Fax

(217) 793-9587

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James A Boggess, DDSNPI 1285857102

Title

Ceo

Phone

(217) 793-9550

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• James A Boggess, D.D.S

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1285857102
  Authorized official Same address or phone
• Joseph Stevens, D.M.D.

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1972956001
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699815498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 GREENBRIAR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-793-9550",
            "fax_number": "217-793-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 GREENBRIAR DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-793-9550",
            "fax_number": "217-793-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINT DENTAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGGESS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-793-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Catterall, MD, MPH
• Charles Anthony Cavallo, MD
• Stephani Cave, MA, NCC, LCPC
• Tiffany Nicole Cavoretto, MS RD LDN
• Kristen Cecil, MD
• Awa Ceesay
• Kathy S Celletti, RNFA
• Kenna Cellitti
• Basar Cenik, M.D.
• Central Counties Health Centers, Inc.

• Dentist in Springfield, IL
• Providers in Springfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.