Jonathan Mark Dingeldein, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-029104 Issued in IL

Practice address

1204 Hwy 164 E
Oquawka, IL 61469

Phone

(309) 867-2770

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jon.dingeldeindds.p29@direct.fhn-fqhc.nextgenshare.com

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1932454873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 HIGHWAY 164 EAST",
            "address_2": "PO BOX 198",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "61469",
            "telephone_number": "309-867-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HWY 164 E",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "61469",
            "telephone_number": "309-867-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGELDEIN",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-029104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Allen, LCSW
• Ross Thomas Bowen, D.D.S.
• Brent Family Pharmacy Inc.
• Christina Brown
• Nicole Lynn Connell, R.D.H
• Yvonne Fillmore, ANP
• Henderson County Rural Health Center Inc (Eagle View Community Health System)
• Henderson County Rural Health Center, Inc (Eagle View Community Health System)
• Usman Ghani Hussain, DDS
• Susan Jensen, LCSW

• General Practice Dentistry in Oquawka, IL
• Providers in Oquawka, 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 17, 2012; 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.