NPIMap

Organization Active NPI

Joseph Kerwin DDS PC

  • Dentist
  • Oregon, IL
National Provider Identifier
1992040018
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019016964 Issued in IL
Legal business name
JOSEPH KERWIN DDS PC
Practice address
1307 Washington St
Suite 130
Oregon, IL 61061-1001
Phone
(815) 732-6911
Fax
(815) 732-7852
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Joseph John Kerwin, D.D.S.
Title
President
Phone
(815) 732-6911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019016964 IL Primary

Addresses

Primary practice location

1307 Washington St
Suite 130
Oregon, IL 61061-1001

Mailing address

1307 Washington St
Suite 130
Oregon, IL 61061-1001
Phone (815) 732-6911

National Provider Directory

National Provider Directory

Locations

1307 W Washington St
Ste 130
Oregon, IL 61061
Phone (815) 732-6911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1992040018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WASHINGTON ST",
            "address_2": "SUITE 130",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611001",
            "telephone_number": "815-732-6911",
            "fax_number": "815-732-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WASHINGTON ST",
            "address_2": "SUITE 130",
            "city": "OREGON",
            "state": "IL",
            "postal_code": "610611001",
            "telephone_number": "815-732-6911",
            "fax_number": "815-732-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH KERWIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-732-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019016964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.