DR. KENNETH C PINKERTON (NPI# 1396835583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396835583 |
| Entity Type | Individual |
| Full Name | DR. KENNETH C PINKERTON |
| Credential | DMD |
| Practice Address |
10200 West Main Street Signal Hill Medical Building Belleville IL 62223-1495 |
| Practice Telephone | 6183972464 |
| Practice Fax Number | 6183984450 |
| Mailing Telephone | 6183972464 |
| Mailing Fax Number | 6183984450 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS BLUE SHIELD | 80115934 | 01 |
| UNITED CONCORDIA | 985218 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003003161 | Kenneth Randy Pinkerton | Physical Therapist | 365 W 1st St, Tustin, CA 92780-3108 | 2007-10-02 |
| 1669680542 | Kenneth Eugene Pinkerton | Dentist | 431 N 7th St, Beatrice, NE 68310-2935 | 2007-05-21 |
| Street Address |
10200 WEST MAIN STREET SIGNAL HILL MEDICAL BUILDING |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1740697333 | Oral Facial Surgery Institute of Il. P.C. | Oral & Maxillofacial Surgery | 10200 West Main Street, Belleville, IL 62223 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801000443 | Center for Oral and Maxillofacial Surgery, P.C. | Oral & Maxillofacial Surgery | 10200 W Main St, Signal Hill Medical Bldg, Belleville, IL 62223-1408 | 2007-05-10 |
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1740697333 | Oral Facial Surgery Institute of Il. P.C. | Oral & Maxillofacial Surgery | 10200 West Main Street, Belleville, IL 62223 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1821652736 | Oral and Maxilloficial Head and Neck Associates LLC | Oral & Maxillofacial Surgery | 811 West Wellington Avenue, Attention: Mohammed Qaisi, Md., Dmd., Chicago, IL 60657-5123 | 2019-04-25 |
| 1396899878 | Bradley W Roberts Dmd PC | Oral & Maxillofacial Surgery | 4 Professional Drive, Alton, IL 62002 | 2007-01-22 |
| 1114025574 | Michael John Karakourtis | Oral & Maxillofacial Surgery | 720 S Brom Drive, Suite #103, Naperville, IL 60540-6595 | 2006-09-20 |
| 1356448344 | William Joseph Powell | Oral & Maxillofacial Surgery | 318 S Washington St, Hinsdale, IL 60521-4433 | 2006-09-20 |
| 1295840304 | Khaled Abughazaleh | Oral & Maxillofacial Surgery | 65 E Scott St Apt 9a, Chicago, IL 60610-5274 | 2006-08-20 |
| 1750360608 | Michael R Stohle | Oral & Maxillofacial Surgery | 500 Davis St, Ste 509, Evanston, IL 60201 | 2006-01-10 |
| 1124027990 | Gamal S Naguib | Oral & Maxillofacial Surgery | 302 E Saint Charles Rd, Villa Park, IL 60181-2420 | 2005-07-14 |
| 1518528165 | Ali Al-qudsi | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-25 |
| 1669033445 | Brett Quinto | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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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.