Elvin Mast Krabill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

475 W Peru St
Princeton, IL 61356-1997

Phone

(815) 875-6449

Fax

(815) 875-9409

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699861062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W PERU ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561997",
            "telephone_number": "815-875-6449",
            "fax_number": "815-875-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W PERU ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561997",
            "telephone_number": "815-875-6449",
            "fax_number": "815-875-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRABILL",
        "first_name": "ELVIN",
        "middle_name": "MAST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ketan R Patel
• Laura Krabill Kheshgi, D.M.D.
• Tiana Josephine Kilanowski
• Thomas Albert Kovacic
• Kellie Marie Kozlowski, PMHNP-BC
• Cory J Kramer, NP
• Lisa Lau, MHP
• Life Is Beautiful LLC
• Lifefit Physical Rehab, LTD.
• Liz Healthcare and Psychiatry

• General Practice Dentistry in Princeton, IL
• Providers in Princeton, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.