Active NPI
Macon County Health Department
- Public Health or Welfare Agency
- Decatur, IL
National Provider Identifier
1720129356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 0190101808
- Legal business name
- MACON COUNTY HEALTH DEPARTMENT
- Practice address
- 1221 E Condit St
Decatur, IL 62521-1405 - Phone
- (217) 423-9930
- Fax
- (217) 423-7436
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Preston Webb, D.M.D.
- Title
- Dental Clinic Director
- Phone
- (217) 423-9930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 0190101808 | IL | Primary |
Addresses
Primary practice location
1221 E Condit St
Decatur, IL 62521-1405
Mailing address
1221 E Condit St
Decatur, IL 62521-1405
Phone (217) 423-9930
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1720129356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 E CONDIT ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625211405",
"telephone_number": "217-423-9930",
"fax_number": "217-423-7436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E CONDIT ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625211405",
"telephone_number": "217-423-9930",
"fax_number": "217-423-7436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MACON COUNTY HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "PRESTON",
"authorized_official_title_or_position": "DENTAL CLINIC DIRECTOR",
"authorized_official_telephone_number": "217-423-9930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "IL",
"license": "0190101808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.