Organization Active NPI

Christopher Greenwaldt, DMD, P.C.

  • Endodontics
  • Rockford, IL
National Provider Identifier
1073305017
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CHRISTOPHER GREENWALDT, DMD, P.C.
Practice address
6050 Brynwood Dr Ste 205
Rockford, IL 61114-6579
Phone
(815) 201-5955
NPI assigned
May 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Lee Greenwaldt, DMDNPI 1467849679
Title
President
Phone
(312) 607-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

6050 Brynwood Dr Ste 205
Rockford, IL 61114-6579

Mailing address

4218 W Belmont Ave
Chicago, IL 60641-4620
Phone (312) 607-8106

National Provider Directory

National Provider Directory

Locations

4218 W Belmont Ave
Chicago, IL 60641

6050 Brynwood Dr
Ste 205
Rockford, IL 61114
Phone (815) 201-5955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751155200000",
    "number": "1073305017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414620",
            "telephone_number": "312-607-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BRYNWOOD DR STE 205",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146579",
            "telephone_number": "815-201-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER GREENWALDT, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A",
        "authorized_official_last_name": "GREENWALDT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-607-8106",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.