SHANNON HAVEL DDS
NPI 1497646772
Dentist - General Practice in Peoria, IL
NPI Status: Active since July 14, 2025
Contact Information
2015 W GLEN AVE STE 230
PEORIA, IL
ZIP 61614
Phone: (309) 673-4616
- Individual
- Female
- Dentist
- General Practice
About SHANNON HAVEL
This page provides the complete NPI Profile along with additional information for Shannon Havel, a provider established in Peoria, Illinois with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1497646772 assigned on July 2025. The practitioner's primary taxonomy code is 1223G0001X with license number 019036257 (IL). The provider is registered as an individual and her NPI record was last updated July 2025.
- NPI
- 1497646772
- Provider Name
- SHANNON HAVEL DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2015 W GLEN AVE STE 230 PEORIA, IL 61614
- Location Phone
- (309) 673-4616
- Mailing Address
- 198 W CENTRAL ST RAYMOND, IA 50667
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-14-2025
- Last Update Date
- 07-14-2025
- Code Navigator
A dentist like Shannon Havel is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 019036257
- License State
- IL
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 6 | 4 | 6 | 7 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 12 | 4 | 12 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 2 + 4 + 1 + 2 + 7 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1497646772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477148179 | SMALLTOWN DENTAL GLEN LLC Organization | Dentist (General Practice) | 2015 W GLEN AVE STE 230 PEORIA, IL 61614 (309) 673-4616 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497646772, enumerated in the NPI registry as an "individual" on July 14, 2025
The provider is located at 2015 W Glen Ave Ste 230 Peoria, Il 61614 and the phone number is (309) 673-4616
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
This NPI record was last updated on July 14, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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