Individual provider Active NPI

Joel W Lovell, D.M.D.

  • General Practice Dentistry
  • Washington, IL
National Provider Identifier
1871845206
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
319.018100 Issued in IL
Practice address
100 Hillcrest Dr
Suite C
Washington, IL 61571-2200
Phone
(309) 444-3811
Fax
(309) 444-8393
NPI assigned
Oct 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 319.018100 IL Primary

Addresses

Primary practice location

100 Hillcrest Dr
Suite C
Washington, IL 61571-2200

Mailing address

100 Hillcrest Dr
Suite C
Washington, IL 61571-2200
Phone (309) 444-3811

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603001021 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062733017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
319.018100ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1871845206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HILLCREST DR",
            "address_2": "SUITE C",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712200",
            "telephone_number": "309-444-3811",
            "fax_number": "309-444-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HILLCREST DR",
            "address_2": "SUITE C",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712200",
            "telephone_number": "309-444-3811",
            "fax_number": "309-444-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "JOEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "319.018100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IL

Sources for this page

Verify at the official NPI Registry.