Periodontics of Rockford Ltd.
NPI 1295988574ActiveOrganization· Dentist· Rockford, IL
Dentist in Rockford, Illinois, registered in NPPES in October 2008, part of Periodontics of Rockford Ltd. The authorized official on file is Jeffrey V.A. Burch, D.M.D., M.S., Periodontist.
Overview
| NPI | 1295988574 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Periodontics of Rockford Ltd. |
| NPI issued | Oct 30, 2008 |
| Last updated in NPPES | Oct 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 021002217 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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