Organization Active NPI

Ridgeview Cusd 19

  • Local Education Agency (LEA)
  • Colfax, IL
National Provider Identifier
1700923109
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
RIDGEVIEW CUSD 19
Practice address
309 N Harrison St
Colfax, IL 61728-9258
Phone
(309) 723-5111
Fax
(309) 723-6395
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Larry K Dodds, EDD
Title
Superintendent
Phone
(309) 723-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

309 N Harrison St
Colfax, IL 61728-9258

Mailing address

309 N Harrison St
Colfax, IL 61728-9258
Phone (309) 723-5111

National Provider Directory

National Provider Directory

Locations

309 N Harrison St
Colfax, IL 61728
Phone (309) 723-5111

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700923109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N HARRISON ST",
            "city": "COLFAX",
            "state": "IL",
            "postal_code": "617289258",
            "telephone_number": "309-723-5111",
            "fax_number": "309-723-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N HARRISON ST",
            "city": "COLFAX",
            "state": "IL",
            "postal_code": "617289258",
            "telephone_number": "309-723-5111",
            "fax_number": "309-723-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CUSD 19",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "309-723-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, IL

Sources for this page

  • 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.