Organization Active NPI

Eric Salud Dentistry PLLC

Doing business as Charles Street Family Dentistry

  • Dental Clinic/Center
  • Rockford, IL
National Provider Identifier
1447196746
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ERIC SALUD DENTISTRY PLLC
Doing business as
Charles Street Family Dentistry
Orland Park
Practice address
3020 Charles St
Rockford, IL 61108-1758
Phone
(815) 399-5181
Fax
(815) 399-1721
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Joe Shippee
Title
Credentialing Manager
Phone
(904) 472-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3020 Charles St
Rockford, IL 61108-1758

Mailing address

3020 Charles St
Rockford, IL 61108-1758
Phone (815) 399-5181

Other practice location 1

10745 Winterset Dr
Orland Park, IL 60467-1106
Phone (708) 873-9074

Other names 2

  • Charles Street Family Dentistry Doing business as
  • Orland Park Doing business as

National Provider Directory

National Provider Directory

Locations

10745 Winterset Dr
Orland Park, IL 60467
Phone (708) 873-9074

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1447196746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081758",
            "telephone_number": "815-399-5181",
            "fax_number": "815-399-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHARLES ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081758",
            "telephone_number": "815-399-5181",
            "fax_number": "815-399-1721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10745 Winterset Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604671106",
            "country_code": "US",
            "telephone_number": "708-873-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERIC SALUD DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "SHIPPEE",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "904-472-3839"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles Street Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 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.