DR. CATHERINE E. CAVANAUGH (NPI# 1013098045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013098045 |
| Entity Type | Individual |
| Full Name | DR. CATHERINE E. CAVANAUGH |
| Credential | D.D.S,, M.S. |
| Practice Address |
1353 E Mound Rd Ste 203 Decatur IL 62526-3680 |
| Mailing Address |
714 Stevens Creek Blvd Forsyth IL 62535-9741 |
| Practice Telephone | 2178720623 |
| Practice Fax Number | 2178720525 |
| Mailing Telephone | 2178753008 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609281427 | Catherine Cavanaugh | Dentist | 1215 W Baltimore Pike, Suite 12, Media, PA 19063-5540 | 2014-07-01 |
| 1831365311 | Catherine E. Cavanaugh | Family Medicine | 24 Miles Center Way, Damariscotta, ME 04543-4047 | 2008-05-05 |
| 1851580252 | Catherine Cavanaugh | Social Worker | 1808 Route 6, Carmel, NY 10512-2356 | 2007-10-22 |
| Street Address |
1353 E MOUND RD STE 203 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033608971 | John Anderson Clinebell | Dentist | 3732 Lavista Rd, Decatur, GA 30033-1006 | 2018-05-07 |
| 1013418201 | Clark Clayton Browne Jr. | Dentist | 1815 Somerville Rd Se, Decatur, AL 35601-5015 | 2018-02-23 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1306969514 | Lew B. Sample | Dentist | 2014 Danville Park Dr Sw, Decatur, AL 35603-1832 | 2007-04-10 |
| 1396808218 | John A. Clinebell, D.d.s., M.s., P.C. | Dentist | 3744 Lavista Rd, Suite A, Decatur, GA 30033-1006 | 2006-12-19 |
| 1023189206 | Mary Lynn Crews | Dentist | 1989 N Williamsburg Dr, Suite A, Decatur, GA 30033-3509 | 2006-11-10 |
| 1316028244 | Penny Lee Taylor | Dentist | 2514 Danville Rd Sw, Decatur, AL 35603-4213 | 2006-10-18 |
| 1104912237 | Daniel C. Mallory | Dentist | 2250 South Fm 51, Suite 800, Decatur, TX 76234-3771 | 2006-10-05 |
| 1578541736 | Allise M. Calloway | Dentist | 4919 Flat Shoals Pkwy, Suite 210, Decatur, GA 30034-5258 | 2006-01-06 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.