Active NPI
Blake Christopher Putman, DDS
- Dentist
- Springfield, IL
National Provider Identifier
1760166599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.036815
- Practice address
- 927 S Durkin Dr Ste B
Springfield, IL 62704-6017 - Phone
- (217) 793-1979
- NPI assigned
- Jun 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 019.036815 | IL | Primary |
Addresses
Primary practice location
927 S Durkin Dr Ste B
Springfield, IL 62704-6017
Mailing address
832 Coventry PT
Springfield, IL 62702-3389
Phone (217) 691-7848
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 |
|---|---|---|---|
| DDS-10153 | IA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1760166599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 COVENTRY PT",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023389",
"telephone_number": "217-691-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 S DURKIN DR STE B",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046017",
"telephone_number": "217-793-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTMAN",
"first_name": "BLAKE",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-12",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.036815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.