Central Illinois Center for Tmj and Facial Pain, P.C.
NPI 1346546421 · Dentist · East Peoria, IL
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Center for Tmj and Facial Pain, P.C. is a Dentist organization in East Peoria, IL (NPI 1346546421).
Provider details
- NPI number
- 1346546421
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jack Walz, Provider(309) 699-1300
- License
- 019021995 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
- 2011-02-07
- Last updated
- 2013-09-30
Frequently asked questions
- What is Central Illinois Center for Tmj and Facial Pain, P.C.'s NPI number?
- Central Illinois Center for Tmj and Facial Pain, P.C.'s National Provider Identifier (NPI) is 1346546421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Center for Tmj and Facial Pain, P.C.?
- Central Illinois Center for Tmj and Facial Pain, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Central Illinois Center for Tmj and Facial Pain, P.C. located?
- Central Illinois Center for Tmj and Facial Pain, P.C.'s practice location on file with NPPES is 731 Sabrina Dr, East Peoria, IL 61611-3581.
- What is Central Illinois Center for Tmj and Facial Pain, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Center for Tmj and Facial Pain, P.C. is (309) 699-1300.
- Does Central Illinois Center for Tmj and Facial Pain, P.C. accept Medicare?
- Central Illinois Center for Tmj and Facial Pain, P.C. 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 Central Illinois Center for Tmj and Facial Pain, P.C.?
- The authorized official listed on Central Illinois Center for Tmj and Facial Pain, P.C.'s NPPES record is Jack Walz, Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Center for Tmj and Facial Pain, P.C.'s NPI active?
- Yes — Central Illinois Center for Tmj and Facial Pain, P.C.'s NPI (1346546421) is active in the NPPES registry as of the last update on 2013-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.