Active NPI
Emily Alice Markwood, DMD
- Dentist
- Champaign, IL
National Provider Identifier
1962055897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019032254
- Practice address
- 201 W Springfield Ave Ste 505
Champaign, IL 61820-4843 - Phone
- (217) 954-1850
- NPI assigned
- Jul 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019032254 | IL | Primary |
| Public Health Dentistry | 1223D0001X | 019.032254 | IL |
Addresses
Primary practice location
201 W Springfield Ave Ste 505
Champaign, IL 61820-4843
Mailing address
1824 Valley Rd
Champaign, IL 61820-7114
Phone (309) 826-2549
Other practice location 1
1250 E US Highway 36
Tuscola, IL 61953-8020
Phone (217) 253-4137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019032254 | IL | MD | Dentist |
| 019.032254 | IL | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County | Current | Accepting new patients | |
| Douglas County | Past | Accepting new patients |
Locations
1250 E US Highway 36
Tuscola, IL 61953
Phone (217) 253-4137
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Tuscola, IL
- NPI 1912601204
-
- Public Health or Welfare Agency
- Tuscola, IL
- NPI 1659406163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1962055897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 VALLEY RD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207114",
"telephone_number": "309-826-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W SPRINGFIELD AVE STE 505",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618204843",
"telephone_number": "217-954-1850"
}
],
"practiceLocations": [
{
"address_1": "1250 E US Highway 36",
"address_purpose": "LOCATION",
"city": "Tuscola",
"state": "IL",
"postal_code": "619538020",
"country_code": "US",
"telephone_number": "217-253-4137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARKWOOD",
"first_name": "EMILY",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032254",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "IL",
"license": "019.032254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.