Central Illinois Center for Tmj and Facial Pain PC
NPI 1962745232 · Dentist · East Peoria, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Center for Tmj and Facial Pain PC is a Dentist organization in East Peoria, IL (NPI 1962745232).
Provider details
- NPI number
- 1962745232
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jack Walz, Ceo/Director(309) 699-1300
- License
- 060008862 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- Tmj & Sleep Apnea Center of Central Il
Registry dates
- Enumerated
- 2013-04-04
- Last updated
- 2013-04-04
Frequently asked questions
- What is Central Illinois Center for Tmj and Facial Pain PC's NPI number?
- Central Illinois Center for Tmj and Facial Pain PC's National Provider Identifier (NPI) is 1962745232, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Center for Tmj and Facial Pain PC?
- Central Illinois Center for Tmj and Facial Pain PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Central Illinois Center for Tmj and Facial Pain PC located?
- Central Illinois Center for Tmj and Facial Pain PC's practice location on file with NPPES is 731 Sabrina Dr, East Peoria, IL 61611-3581.
- What is Central Illinois Center for Tmj and Facial Pain PC's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Center for Tmj and Facial Pain PC is (309) 699-1300.
- Does Central Illinois Center for Tmj and Facial Pain PC accept Medicare?
- Central Illinois Center for Tmj and Facial Pain 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 Center for Tmj and Facial Pain PC?
- The authorized official listed on Central Illinois Center for Tmj and Facial Pain PC's NPPES record is Jack Walz, Ceo/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Center for Tmj and Facial Pain PC's NPI active?
- Yes — Central Illinois Center for Tmj and Facial Pain PC's NPI (1962745232) is active in the NPPES registry as of the last update on 2013-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.