Peterson Dental Care LLC
NPI 1316430952 · Dental Clinic/Center · Springfield, IL
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peterson Dental Care LLC is a Dental Clinic/Center organization in Springfield, IL (NPI 1316430952).
Provider details
- NPI number
- 1316430952
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Peterson, Owner(630) 780-9964
- License
- 019029045 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2018-06-08
- Last updated
- 2025-04-16
- Certified
- 2025-04-16
Frequently asked questions
- What is Peterson Dental Care LLC's NPI number?
- Peterson Dental Care LLC's National Provider Identifier (NPI) is 1316430952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Dental Care LLC?
- Peterson Dental Care LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Peterson Dental Care LLC located?
- Peterson Dental Care LLC's practice location on file with NPPES is 2501 W Iles Ave Ste a, Springfield, IL 62704-6482.
- What is Peterson Dental Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Peterson Dental Care LLC is (217) 787-4015.
- Does Peterson Dental Care LLC accept Medicare?
- Peterson Dental Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peterson Dental Care LLC?
- The authorized official listed on Peterson Dental Care LLC's NPPES record is James Peterson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Dental Care LLC's NPI active?
- Yes — Peterson Dental Care LLC's NPI (1316430952) is active in the NPPES registry as of the last update on 2025-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.