Active NPI
Denise Hand
- Dentist
- Freeburg, IL
National Provider Identifier
1740632728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 319.020096
- Practice address
- 1 Southgate Ctr
Freeburg, IL 62243 - Phone
- (618) 317-5187
- NPI assigned
- Jul 1, 2016
- Last updated
- Apr 20, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 319.020096 | IL | Primary |
Addresses
Primary practice location
1 Southgate Ctr
Freeburg, IL 62243
Mailing address
1 Southgate Ctr
Freeburg, IL 62243
Phone (618) 539-5519
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319.020096 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimbrell Dental PLLC | Current | Accepting new patients |
Locations
1 Southgate Ctr
Freeburg, IL 62243
Phone (618) 317-5187
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Freeburg, IL
- NPI 1295473700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1740632728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SOUTHGATE CTR",
"city": "FREEBURG",
"state": "IL",
"postal_code": "62243",
"telephone_number": "618-539-5519",
"fax_number": "618-539-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SOUTHGATE CTR",
"city": "FREEBURG",
"state": "IL",
"postal_code": "62243",
"telephone_number": "618-317-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAND",
"first_name": "DENISE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "319.020096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Groceries of Southern Illinois LLC (Freeburg pharmacy)
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- Groceries of Southern Illinois, LLC. (Freeburg Country Mart)
- Jamie L Hahne
- Richard Benjamin Hamm, O.D.
- Natalie Ann Heberlie, PT
- Meghan Heuring
- Hope Ranch, Inc.
- Savannah A Howe
- Inspire Therapy of Southern Illinois LLC (Inspire Therapy of Southern Illinois)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.