Affordable Dentistry Today
NPI 1629393962ActiveOrganization· Dentist, General Practice· Rockford, IL
Dentist, General Practice in Rockford, Illinois, registered in NPPES in March 2010, part of Affordable Dentistry Today. The authorized official on file is Kelli Walker, Insurance/Credentialing.
Overview
| NPI | 1629393962 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Affordable Dentistry Today |
| NPI issued | Mar 30, 2010 |
| Last updated in NPPES | Mar 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Dentist, General Practice providers in Rockford
- 1003537010
- 1871850222
- 1588835995
- 1891237285
- 1023234374
- 1750624110
- 1922272939
- 1073735718
- 1699912386
- 1437320421
- 1588745426
- 1750405445