Individual provider Active NPI

Aarrthi Santhana Krishnan, DMD

  • Dentist
  • Peoria, IL
National Provider Identifier
1124954474
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.037217 Issued in IL
Practice address
1320 W Northmoor Rd Ste a
Peoria, IL 61614-3425
Phone
(309) 690-3368
NPI assigned
Jun 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.037217 IL Primary

Addresses

Primary practice location

1320 W Northmoor Rd Ste a
Peoria, IL 61614-3425

Mailing address

1800 W Peach Bud Dr Apt 12309
Peoria, IL 61615-7030
Phone (567) 200-1202

Other practice location 1

124 Eastgate Dr
Washington, IL 61571-9236
Phone (309) 694-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1124954474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W PEACH BUD DR APT 12309",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157030",
            "telephone_number": "567-200-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W NORTHMOOR RD STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143425",
            "telephone_number": "309-690-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Eastgate Dr",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IL",
            "postal_code": "615719236",
            "country_code": "US",
            "telephone_number": "309-694-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTHANA KRISHNAN",
        "first_name": "AARRTHI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.037217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.