Active NPI
Christopher Greenwaldt, DMD, P.C.
- Endodontics
- Rockford, IL
National Provider Identifier
1073305017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Lee Greenwaldt, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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 DirectoryLocations
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.
-
- Endodontics
- Rockford, IL
- NPI 1467849679
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.