Pediatric Dentistry of Northern Illinois Ltd
NPI 1376651679 · Pediatric Dentistry · Rockford, IL
Pediatric Dentistry of Northern Illinois Ltd is a Pediatric Dentistry organization in Rockford, IL (NPI 1376651679).
Provider details
- NPI number
- 1376651679
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Johnson, Pediatric Dentist Owner President(815) 398-2323
- License
- 019 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-08-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pediatric Dentistry of Northern Illinois Ltd's NPI number?
- Pediatric Dentistry of Northern Illinois Ltd's National Provider Identifier (NPI) is 1376651679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Northern Illinois Ltd?
- Pediatric Dentistry of Northern Illinois Ltd is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Northern Illinois Ltd located?
- Pediatric Dentistry of Northern Illinois Ltd's practice location on file with NPPES is 4903 E State St, Rockford, IL 61108.
- What is Pediatric Dentistry of Northern Illinois Ltd's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Northern Illinois Ltd is (815) 398-2323.
- Who is the authorized official for Pediatric Dentistry of Northern Illinois Ltd?
- The authorized official listed on Pediatric Dentistry of Northern Illinois Ltd's NPPES record is Jeffrey Johnson, Pediatric Dentist Owner President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Northern Illinois Ltd's NPI active?
- Yes — Pediatric Dentistry of Northern Illinois Ltd's NPI (1376651679) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.