OrganizationActive
Illiana Endodontics, P.C.
NPI 1912070228 · Endodontics · Dyer, IN
Illiana Endodontics, P.C. is a Endodontics organization in Dyer, IN (NPI 1912070228).
Provider details
- NPI number
- 1912070228
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Michael Mintz, President(708) 755-2021
- License
- 021001405 (IL)
Specialties & taxonomies
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
934 Richard Rd
Dyer, IN 46311-1936
Phone: (219) 865-9790
Fax: (708) 755-2027
Street-level locationGet directions
Mailing address
934 Richard Rd
Dyer, IN 46311-1936
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Illiana Endodontics, P.C.'s NPI number?
- Illiana Endodontics, P.C.'s National Provider Identifier (NPI) is 1912070228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illiana Endodontics, P.C.?
- Illiana Endodontics, P.C. is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Illiana Endodontics, P.C. located?
- Illiana Endodontics, P.C.'s practice location on file with NPPES is 934 Richard Rd, Dyer, IN 46311-1936.
- What is Illiana Endodontics, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Illiana Endodontics, P.C. is (219) 865-9790.
- Who is the authorized official for Illiana Endodontics, P.C.?
- The authorized official listed on Illiana Endodontics, P.C.'s NPPES record is Michael Mintz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illiana Endodontics, P.C.'s NPI active?
- Yes — Illiana Endodontics, P.C.'s NPI (1912070228) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.