Julia R. Pesavento, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JULIA R. PESAVENTO, D.M.D.

Doing business as

Katherine F. Stewart, D.D.S.

Practice address

1075 Featherstone Rd
Suite 30
Rockford, IL 61107-5906

Phone

(815) 395-1711

Fax

(815) 395-1705

NPI assigned

Nov 6, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

JULIA R. PESAVENTO, D.M.D.As reported in NPPES

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

Authorized official

Name

Dr. Julia Regina Pesavento, D.M.D.NPI 1043435175

Title

Owner

Phone

(815) 395-1711

Specialties & licenses 1

Addresses

Other names 1

• Katherine F. Stewart, D.D.S. Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia R Pesavento, D.M.D.

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1043435175
  NPD (past) Authorized official
• Katherine F Stewart, D.D.S.

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1104948918
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1083868806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 FEATHERSTONE RD",
            "address_2": "SUITE 30",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075906",
            "telephone_number": "815-395-1711",
            "fax_number": "815-395-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 FEATHERSTONE RD",
            "address_2": "SUITE 30",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075906",
            "telephone_number": "815-395-1711",
            "fax_number": "815-395-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA R. PESAVENTO, D.M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JULIA R. PESAVENTO, D.M.D.",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "PESAVENTO",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-395-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katherine F. Stewart, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Marie Jost, RN, NKH, AP, CP, CH
• Kara C. Joyner, PA
• Kimberly Jozwiak
• Megan Melissa Juchcinski, PTA
• Juli Young, DMD, PC
• Julie Schwebke MSW, LLC (Julie Schwebke LCSW, LLC)
• Andrew I. Jun, MD
• David Lawrence Junkins, M.D.
• Lester C Jurgens, M.D.
• Kenneth Peter Justesen, D.O.

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.