IndividualActive
Katherine Shadid, DMD
NPI 1144066747 · Dentist · Peoria, IL
Katherine Shadid, DMD is a Dentist provider in Peoria, IL (NPI 1144066747).
Provider details
- NPI number
- 1144066747
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 019.035294 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
843 W Glen Ave
Peoria, IL 61614-4834
Phone: (309) 691-9421
Street-level locationGet directions
Mailing address
11120 N Brookhaven Ct
Peoria, IL 61615-1009
Additional practice locations (1)
- 7314 N Willow Lake Ct Ste DPeoria, IL 61614-8289Phone: (309) 692-0175
Registry dates
- Enumerated
- 2024-07-02
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Frequently asked questions
- What is Katherine Shadid's NPI number?
- Katherine Shadid's National Provider Identifier (NPI) is 1144066747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katherine Shadid's specialty?
- Katherine Shadid is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Katherine Shadid located?
- Katherine Shadid's practice location on file with NPPES is 843 W Glen Ave, Peoria, IL 61614-4834.
- What is Katherine Shadid's phone number?
- The practice phone number listed in the NPPES registry for Katherine Shadid is (309) 691-9421.
- Is Katherine Shadid's NPI active?
- Yes — Katherine Shadid's NPI (1144066747) is active in the NPPES registry as of the last update on 2024-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.