Active NPI
Robert Franklin Huey, DMD
- Dentist
- Granite City, IL
National Provider Identifier
1750734521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019030743
- Practice address
- 3429 Nameoki Rd
Granite City, IL 62040-3709 - Phone
- (618) 452-2006
- NPI assigned
- Jul 18, 2016
- Last updated
- Aug 1, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019030743 | IL | Primary |
Addresses
Primary practice location
3429 Nameoki Rd
Granite City, IL 62040-3709
Mailing address
204 Sierra PT
Glen Carbon, IL 62034-1347
Phone (217) 714-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161121000138 | IL | Order and Referring Only - Dentist | 0547549289 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019030743 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Weems Jr. P.C. | Dentist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1750734521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 SIERRA PT",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341347",
"telephone_number": "217-714-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3429 NAMEOKI RD",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620403709",
"telephone_number": "618-452-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEY",
"first_name": "ROBERT",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-18",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granite City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.