Organization provider

PUMILIA FAMILY DENTAL LLC

Customized Equipment (DME) Dentist Medicare enrolled

PUMILIA FAMILY DENTAL LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1679977458, based in Rockford, IL. The organization lists 2 taxonomy classifications, with Customized Equipment (DME) recorded as primary.

Getting there

The practice address on file is 755 S MULFORD RD, Rockford, IL 61108. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

755 S MULFORD RD, Rockford, IL 61108 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
019021788 IL Customized Equipment (DME) primary
319.010939 IL Dentist

This provider holds licence 019021788 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Dme Supplier - Oral Surgery - Dentist
PAC ID
6901117704
Enrollment ID
O20150619002318

Medicare enrolment is recorded as approved under the provider type Dme Supplier - Oral Surgery - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Customized Equipment covers

Definition to come... NUCC Health Care Provider Taxonomy, code 332BC3200X
Suppliers Durable Medical Equipment & Medical Supplies Customized Equipment

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
332BC3200X Customized Equipment (DME) Customized Equipment 019021788 IL primary
122300000X Dentist 319.010939 IL

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.

NPI1679977458 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 22, 2014
Last updatedJan 22, 2018
StatusActive
Practice address 755 S MULFORD RD
Rockford, IL 61108
(815) 398-2410
Fax (815) 398-2620
This record was last updated on Jan 22, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1679977458 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 7 9 9 7 7 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 9 7 5 4 1

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

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.

Common questions

What is NPI number 1679977458?
NPI 1679977458 is the National Provider Identifier assigned to PUMILIA FAMILY DENTAL LLC in Rockford, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Customized Equipment cover?
Definition to come...
How do I contact PUMILIA FAMILY DENTAL LLC?
The phone number on file with NPPES is (815) 398-2410, last updated Jan 22, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PUMILIA FAMILY DENTAL LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679977458 a valid number?
Yes. 1679977458 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.