David Charles Nagele, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A14118 Issued in IL

Practice address

130 N Littelfuse LN
Suite 101
Watseka, IL 60970

Phone

(815) 432-5421

Fax

(815) 432-5421

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790859866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N LITTELFUSE LN",
            "address_2": "SUITE 101",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "60970",
            "telephone_number": "815-432-5421",
            "fax_number": "815-432-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N LITTELFUSE LN",
            "address_2": "SUITE 101",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "60970",
            "telephone_number": "815-432-5421",
            "fax_number": "815-432-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGELE",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A14118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003095",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica A. Morales, BSN, MSN, NP-C
• Giavanna Nicole Moran, MA
• Kimberly Anna Morris
• James J. Murphy, M.D.
• Malinda S Mustered
• Timothy G Nelson, LPC
• Adam Nicholson, PT, DPT
• Jody M Niebuhr
• Theresa Norton
• Illona Nykaza

• General Practice Dentistry in Watseka, IL
• Providers in Watseka, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.