Rodney Earl Willey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019019599 Issued in IL

Practice address

11825 State Route 40
Suite 100
Dunlap, IL 61525-8842

Phone

(309) 243-8980

NPI assigned

Oct 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Oral Surgery

Education

Loma Linda University School of Dentistry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Institute of Dental Sleep Medicine IncGroup PAC ID 9032242078, 2 clinicians

Sleep Apnea Care and Wellness LLCGroup PAC ID 0042436438, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois Institute of Dental Sleep Medicine PLLC

  • Dentist
  • Dunlap, IL
  • NPI 1740518380
  Medicare reassignment Care Compare group NPD Authorized official
• Sleep Apnea Care and Wellness LLC

  • Customized Equipment (DME)
  • Wausau, WI
  • NPI 1114342847

  Dentist

  Medicare reassignment Care Compare group NPD Authorized official
• Illinois Institute of Dental Sleep Medicine Inc

  • Dentist
  • Dunlap, IL
  • NPI 1619311248
  NPD Authorized official
• Maple Shade Dental Group

  • Oral and Maxillofacial Surgery (Dentist)
  • Dunlap, IL
  • NPI 1427116854
  NPD (past) Authorized official
• Mishawaka Sleep Inc

  • Dentist
  • Mishawaka, IN
  • NPI 1053936484
  NPD
• Sleep Apnea Care and Wellness, LLC

  • Durable Medical Equipment & Medical Supplies
  • Plover, WI
  • NPI 1689106387

  Dentist

  NPD
• Sleep Apnea Care and Wellness LLC

  • Durable Medical Equipment & Medical Supplies
  • Wausau, WI
  • NPI 1407246101
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1144409806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40",
            "address_2": "SUITE 100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-243-8980",
            "fax_number": "309-265-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40",
            "address_2": "SUITE 100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-243-8980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E Day Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453463",
            "country_code": "US",
            "telephone_number": "574-800-5080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 N 17th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014287",
            "country_code": "US",
            "telephone_number": "715-298-4454",
            "fax_number": "888-837-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "RODNEY",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Tracy-Trent, MSW LCSW
• Kay Lynn Trilikis
• James Carol Wagner
• Heather Jean Wessels
• Margaret Anna Westemeyer, MS, CGC
• Manlio Zuniga

• Dentist in Dunlap, IL
• Providers in Dunlap, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.