Individual provider Active NPI

Emily Alice Markwood, DMD

  • Dentist
  • Champaign, IL
National Provider Identifier
1962055897
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019032254 Issued in IL
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

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019032254ILMDDentist
019.032254ILMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas County CurrentSince Apr 6, 2023 Accepting new patients
Douglas County PastSince Jul 25, 2019 Accepting new patients

Locations

1250 E US Highway 36
Tuscola, IL 61953
Phone (217) 253-4137

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.