DR. JON KARL DIVELY DDS
NPI 1659596393
Dentist - General Practice in Macomb, IL

Q: What is Jon Dively's NPI number?

The NPI number for Jon Dively is 1659596393. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is Jon Dively's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jon Dively was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 16, 2007

4 DOCTORS LN, MACOMB, IL 61455(309) 837-3918 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jon Karl Dively Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON KARL DIVELY DDS (NPI 1659596393) is an individual general practice provider in Macomb, Illinois, licensed in Illinois (19A13962) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1659596393

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JON KARL DIVELYCredential: DDS

Location Address4 DOCTORS LNMacomb, IL 61455-3376

Mailing Address4 Doctors LnMacomb, IL 61455-3376 · (309) 837-3918

Phone(309) 837-3918

Sole ProprietorYes

Enumeration DateApril 16, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659596393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 19A13962

Definition

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.

4 DOCTORS LN, Macomb, IL 61455

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Dively's NPI number?

The NPI number for Jon Dively is 1659596393. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jon Dively located?

Jon Dively practices at 4 Doctors Ln, Macomb, IL 61455. The listed phone number is (309) 837-3918.

What is Jon Dively's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jon Dively was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.