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Derek Grzanich, DDS
NPI 1487736112 · Endodontics · Peoria, IL
Derek Grzanich, DDS is a Endodontics provider in Peoria, IL (NPI 1487736112).
Provider details
- NPI number
- 1487736112
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019026724 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
9016 N Allen Rd
Suite B
Peoria, IL 61615-1513
Phone: (309) 690-4500
Fax: (309) 690-4500
Street-level locationGet directions
Mailing address
5518 W Brookmere Drive
Edwards, IL 61528-9407
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Frequently asked questions
- What is Derek Grzanich's NPI number?
- Derek Grzanich's National Provider Identifier (NPI) is 1487736112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Grzanich's specialty?
- Derek Grzanich is listed in the NPPES registry with a primary specialty of Endodontics (Dental Providers).
- Where is Derek Grzanich located?
- Derek Grzanich's practice location on file with NPPES is 9016 N Allen Rd, Peoria, IL 61615-1513.
- What is Derek Grzanich's phone number?
- The practice phone number listed in the NPPES registry for Derek Grzanich is (309) 690-4500.
- Is Derek Grzanich's NPI active?
- Yes — Derek Grzanich's NPI (1487736112) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.