Central Illinois Oral and Maxillofacial Surgery, PC
NPI 1669540399 · Oral and Maxillofacial Surgery (Dentist) · Champaign, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Oral and Maxillofacial Surgery, PC is a Oral and Maxillofacial Surgery (Dentist) organization in Champaign, IL (NPI 1669540399).
Provider details
- NPI number
- 1669540399
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Central Illinois Oral and Maxillofacial Surgery, PC
- Organization subpart
- Yes
- Authorized official
- Amy Kroeger, Insurance Coordinator(217) 540-5100
Specialties & taxonomies
Dental Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Champaign Oral Surgery Center
- Doing business as
- Champaign Oral Surgery Center
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Central Illinois Oral and Maxillofacial Surgery, PC's NPI number?
- Central Illinois Oral and Maxillofacial Surgery, PC's National Provider Identifier (NPI) is 1669540399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Oral and Maxillofacial Surgery, PC?
- Central Illinois Oral and Maxillofacial Surgery, PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Central Illinois Oral and Maxillofacial Surgery, PC located?
- Central Illinois Oral and Maxillofacial Surgery, PC's practice location on file with NPPES is 14 E Anthony Dr, Champaign, IL 61820-2748.
- What is Central Illinois Oral and Maxillofacial Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Oral and Maxillofacial Surgery, PC is (217) 355-2809.
- Does Central Illinois Oral and Maxillofacial Surgery, PC accept Medicare?
- Central Illinois Oral and Maxillofacial Surgery, PC 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 Oral and Maxillofacial Surgery, PC?
- The authorized official listed on Central Illinois Oral and Maxillofacial Surgery, PC's NPPES record is Amy Kroeger, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Oral and Maxillofacial Surgery, PC's NPI active?
- Yes — Central Illinois Oral and Maxillofacial Surgery, PC's NPI (1669540399) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.