Dan Wilbert Kaspar, DDS,MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Practice address

929 W Carl Sandburg Dr
Galesburg, IL 61401-1342

Phone

(309) 344-3311

Fax

(309) 344-1052

NPI assigned

Jan 12, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186012800000",
    "number": "1730168212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W CARL SANDBURG DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011342",
            "telephone_number": "309-344-3311",
            "fax_number": "309-344-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W CARL SANDBURG DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011342",
            "telephone_number": "309-344-3311",
            "fax_number": "309-344-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPAR",
        "first_name": "DAN",
        "middle_name": "WILBERT",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Johnson, LCPC
• Laquita Dale Jones
• David Jun, DDS
• Christine L Kage-Willis, LDN
• Sean Kelly Kane, M.D.
• Virginia G Kasser, PH.D.
• Marc Katchen, MD
• Kccdd, Inc.
• Kccdd, Inc.
• Kehoe Eye Care PC

• Oral and Maxillofacial Surgery (Dentist) in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.