OrganizationActive
Lavender Rose Dental
NPI 1902412158 · Dental Clinic/Center · Chenoa, IL
Lavender Rose Dental is a Dental Clinic/Center organization in Chenoa, IL (NPI 1902412158).
Provider details
- NPI number
- 1902412158
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shima Phoenix, Dentist(575) 840-4838
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
333 N Morehead St
Chenoa, IL 61726-1001
Phone: (815) 945-7808
Street-level locationGet directions
Mailing address
333 N Morehead St
Chenoa, IL 61726-1001
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Frequently asked questions
- What is Lavender Rose Dental's NPI number?
- Lavender Rose Dental's National Provider Identifier (NPI) is 1902412158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lavender Rose Dental?
- Lavender Rose Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lavender Rose Dental located?
- Lavender Rose Dental's practice location on file with NPPES is 333 N Morehead St, Chenoa, IL 61726-1001.
- What is Lavender Rose Dental's phone number?
- The practice phone number listed in the NPPES registry for Lavender Rose Dental is (815) 945-7808.
- Who is the authorized official for Lavender Rose Dental?
- The authorized official listed on Lavender Rose Dental's NPPES record is Shima Phoenix, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lavender Rose Dental's NPI active?
- Yes — Lavender Rose Dental's NPI (1902412158) is active in the NPPES registry as of the last update on 2020-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.