Central Illinois Dental Sleep Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTRAL ILLINOIS DENTAL SLEEP CENTER

Practice address

2501 W Iles Ave Ste B
Springfield, IL 62704-6482

Phone

(217) 546-0351

Fax

(217) 698-1638

NPI assigned

Jul 31, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kraig Osborne, DMDNPI 1073663738

Title

Owner

Phone

(217) 546-0351

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kraig D. Osborne, D.M.D.

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1073663738
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1760211494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W ILES AVE STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046482",
            "telephone_number": "217-546-0351",
            "fax_number": "217-698-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W ILES AVE STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046482",
            "telephone_number": "217-546-0351",
            "fax_number": "217-698-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS DENTAL SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-546-0351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Counties Health Centers, Inc.
• Central Counties Health Centers, Inc.
• Central Illinois Acupuncture, Inc.
• Central Illinois Allergy and Respiratory
• Central Illinois Audiology LTD
• Central Illinois Emergency Physicians, LLP
• Central Illinois Hearing & Speech LTD
• Central Illinois Hematology Oncology Center PC
• Central Illinois Kidney & Dialysis Associates, SC
• Central Illinois Oral and Maxiofacial Surgery, PC

• Durable Medical Equipment & Medical Supplies in Springfield, IL
• Providers in Springfield, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.