DANIEL GODFREY DDS
NPI 1861185860
Oral & Maxillofacial Surgery in Urbana, IL

Q: What is Daniel Godfrey's NPI number?

The NPI number for Daniel Godfrey is 1861185860. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Q: What is Daniel Godfrey's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Godfrey was last updated on July 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 26, 2023PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 326-1297(217) 326-1300 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2024, May 26, 2023 (2 updates tracked since 2023).

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About Daniel Godfrey Dds NPPES

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

DANIEL GODFREY DDS (NPI 1861185860) is an individual oral & maxillofacial surgery provider in Urbana, Illinois, licensed in Illinois (018002288) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861185860

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDANIEL GODFREYCredential: DDS

Location Address611 W PARK STUrbana, IL 61801-2501

Mailing Address1501 Hillshire DrUrbana, IL 61802-7808 · (317) 383-9097

Phone(217) 326-1297

Fax(217) 326-1300

Sole ProprietorNo

Enumeration DateMay 26, 2023

Last NPPES UpdateJuly 14, 20242 updates tracked since enumeration

NPPES CertifiedJuly 14, 2024

✔ NPI 1861185860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in IL · 018002288

Definition

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.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 12014089A (IN)

611 W PARK ST, Urbana, IL 61801

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Godfrey Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology