Alan E. Chiles, DMD
Individual provider Active NPI General Practice Dentistry · Litchfield, IL
NPI 1720028855 · NPPES record last updated Dec 18, 2014
Key facts
- NPI
- 1720028855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019-019604 (IL)
- Practice address
- 318 N Madison St
Litchfield, IL 62056-1911 - Phone
- (217) 324-6223
- Fax
- (217) 324-9101
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: 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
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-019604 | IL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-019604 | IL | Yes |
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
Other providers in Litchfield, IL
- Tonya Lee Burdell
- Morgan Nicole Burke
- Cep America-Illinois Hospitalists, LLP
- Cepamerica Illinois LLP
- Shih Fang Cheng
- City of Litchfield
- Riley Renee Clubb
- Keith Allen Cochran
- Coffman Drug Store Inc
- Janis E Collins
All providers in Litchfield, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.