Individual provider Active NPI

Divya J Makhija

  • Dentist
  • Gillespie, IL
National Provider Identifier
1902641780
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.035257 Issued in IL
Practice address
109 E Maple St
Gillespie, IL 62033-1473
Phone
(217) 854-3223
NPI assigned
Jun 25, 2024
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.035257 IL Primary

Addresses

Primary practice location

109 E Maple St
Gillespie, IL 62033-1473

Mailing address

205 Oakland Ave
Carlinville, IL 62626-1921
Phone (217) 854-3223

Other practice location 1

1905 W Springfield Ave
Champaign, IL 61821-3007
Phone (217) 355-6396

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
I20250804000771 IL Practitioner - Dentist 9537677323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.035257ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Macoupin County Public Health Department CurrentSince May 24, 2025 Accepting new patients
Macoupin County Public Health Department CurrentSince May 24, 2025 Accepting new patients
Familia Dental Champaign LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

1115 Morgan St
Carlinville, IL 62626
Phone (217) 854-3223

205 Oakland Ave
Carlinville, IL 62626
Phone (217) 839-7820

1905 W Springfield Ave
Champaign, IL 61821
Phone (217) 355-6396

109 E Maple St
Gillespie, IL 62033
Phone (217) 839-1526

125 W Columbian Blvd S
Litchfield, IL 62056
Phone (217) 250-2360

Interoperability endpoints

  • Direct secure messaging: divya.makhija.p30@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 3

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1902641780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAPLE ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331473",
            "telephone_number": "217-854-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 W Springfield Ave",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618213007",
            "country_code": "US",
            "telephone_number": "217-355-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKHIJA",
        "first_name": "DIVYA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillespie, IL

Sources for this page

Verify at the official NPI Registry.