PETERSON DENTAL CARE LLC
PETERSON DENTAL CARE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1316430952, based in Springfield, IL. It is classified under Dental Clinic/Center.
Getting there
The practice address on file is 2501 W ILES AVE STE A, Springfield, IL 62704. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 019029045 | IL | Dental Clinic/Center primary |
This provider holds licence 019029045 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Oral Surgery - Dentist
- PAC ID
- 5698291805
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Oral Surgery - Dentist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Dental covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QD0000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1316430952 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 8, 2018 |
| Last updated | Apr 16, 2025 |
| Status | Active |
| Practice address |
2501 W ILES AVE STE A Springfield, IL 62704 (217) 787-4015 |
| Mailing address |
1700 MOUND RD Jacksonville, IL 62650 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 1 | 6 | 4 | 3 | 0 | 9 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 8 | 3 | 0 | 9 | 1 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.