Active NPI
Dental Group of Galesburg PLLC
- General Practice Dentistry
- Galesburg, IL
National Provider Identifier
1225683766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL GROUP OF GALESBURG PLLC
- Practice address
- 1865 N Henderson St Ste 9
Galesburg, IL 61401-1377 - Phone
- (270) 556-4342
- NPI assigned
- Aug 1, 2019
- 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
- Dr. Cody Krech, DMD
- Title
- Owner/Manager
- Phone
- (270) 556-4342
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1865 N Henderson St Ste 9
Galesburg, IL 61401-1377
Mailing address
1865 N Henderson St Ste 9
Galesburg, IL 61401-1377
Phone (309) 342-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260109000221 | IL | DME Supplier - Oral Surgery - Dentist | 8123504115 | Practice locations: Galesburg, IL |
National Provider Directory
National Provider DirectoryLocations
1865 N Henderson St
Ste 9
Galesburg, IL 61401
Phone (270) 556-4342
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Davenport, IA
- NPI 1538468210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1225683766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 N HENDERSON ST STE 9",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011377",
"telephone_number": "309-342-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1865 N HENDERSON ST STE 9",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011377",
"telephone_number": "270-556-4342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL GROUP OF GALESBURG PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-01",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "KRECH",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "270-556-4342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.