DR. DANIEL YI-LI WEN (NPI# 1386124675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386124675 |
| Entity Type | Individual |
| Full Name | DR. DANIEL YI-LI WEN |
| Credential | DMD |
| Practice Address |
1400 E Main St Casey IL 62420 |
| Mailing Address |
117 W Polk Ave Apt 4 Charleston IL 61920-2582 |
| Practice Telephone | 2179325266 |
| Practice Fax Number | 2177184347 |
| Mailing Telephone | 4105705153 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2019-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.031999 | IL | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
16652 | MD | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Lower Magothy Beach Rd, Severna Park, MD 211462118 | 4105705153 | |
| 815 N 2nd St, Marshall, IL 624411086 | 2178265181 | 2178262651 |
| Street Address |
1400 E MAIN ST |
| City | CASEY |
| State | IL |
| Zip Code | 62420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023379443 | Douglas Michael Hartley | Dentist | 1400 E Main St, Casey, IL 62420-2106 | 2012-06-01 |
| 1053684365 | Restoration Dental LLC-casey Family Dental | Dentist | 1400 E Main St, Casey, IL 62420-2106 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322296 | Champion Fitness, Inc | Clinic/Center | 1300 E. Us Highway 40, Casey, IL 62420 | 2016-09-01 |
| 1801089263 | Cory D Hanley | Physical Therapist | 1300 E Us Highway 40, Casey, IL 62420 | 2007-08-20 |
| 1528186665 | Sarah Bush Lincoln Health Center | Clinic/Center | 934 North Route 49, Casey, IL 62420 | 2007-03-27 |
| 1861499006 | Heartland Manor Inc Nursing Center | Skilled Nursing Facility | 410 N W Third Street, Casey, IL 62420 | 2005-07-01 |
| 1831228600 | Patrick M Niebrugge | Optometrist | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-03-05 |
| 1962696617 | Patrick Niebrugge Od | Durable Medical Equipment & Medical Supplies | 1279 E Us Hwy 40, Casey, IL 62420-0528 | 2007-09-05 |
| 1578036695 | Heartland Nursing & Rehabilitation LLC | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| 1891787529 | Robert Lee Dougherty | Physician Assistant | 412 Nw 3rd St, Casey, IL 62420-1014 | 2005-08-18 |
| 1952874075 | Scott E Stout | Skilled Nursing Facility | 410 Nw 3rd St, Casey, IL 62420-1014 | 2019-01-11 |
| 1538166137 | Moore Family Stores Inc. | Pharmacy | 202 W Edgar Ave, Casey, IL 62420-1024 | 2005-06-28 |
| Find all providers in zip 62420 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053684365 | Restoration Dental LLC-casey Family Dental | Dentist | 1400 E Main St, Casey, IL 62420-2106 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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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.