DR. DAVID K DEETS M.D. NPI 1093786220

NPI Information

  • NPI: 1093786220
  • Provider Name: DR. DAVID K DEETS, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 215 E 1ST ST
    STE 326 KSB MEDICAL GROUP
    DIXON, IL
    ZIP 61021
  • Phone: (815) 284-5719

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NPI Details

DR. David K Deets, M.D. is a general practice in Dixon, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. David K Deets, M.D. NPI is 1093786220. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

215 E 1ST ST
STE 326 KSB MEDICAL GROUP
DIXON, IL
ZIP 61021-166
Phone: (815) 284-5719
Fax: (815) 285-5894

The enumeration date for this NPI number is 1/27/2006 and was last updated on 10/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & Rehabilitation036-0482660ILLINOISNo
2208D00000XGeneral Practice036-0482660ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036048266MEDICAIDILLINOIS
2D09767MEDICARE UPIN
3L50815MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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