Active NPI
Alan E. Chiles, DMD
- General Practice Dentistry
- Litchfield, IL
National Provider Identifier
1720028855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-019604
- Practice address
- 318 N Madison St
Litchfield, IL 62056-1911 - Phone
- (217) 324-6223
- Fax
- (217) 324-9101
- NPI assigned
- Jun 7, 2006
- Last updated
- Dec 18, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-019604 | IL | Primary |
Addresses
Primary practice location
318 N Madison St
Litchfield, IL 62056-1911
Mailing address
318 N Madison St
Litchfield, IL 62056-1911
Phone (217) 324-6223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 7, 2018 through Nov 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-019604 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1720028855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 N MADISON ST",
"city": "LITCHFIELD",
"state": "IL",
"postal_code": "620561911",
"telephone_number": "217-324-6223",
"fax_number": "217-324-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 N MADISON ST",
"city": "LITCHFIELD",
"state": "IL",
"postal_code": "620561911",
"telephone_number": "217-324-6223",
"fax_number": "217-324-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILES",
"first_name": "ALAN",
"middle_name": "E.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-019604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.