Active NPI
Denise R. Flynn DDS LTD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 00-001854
- Legal business name
- DENISE R. FLYNN DDS LTD
- Practice address
- 7310 N Villa Lake Dr Ste C
Peoria, IL 61614-8268 - Phone
- (309) 346-5140
- Fax
- (309) 346-1847
- NPI assigned
- Jan 4, 2008
- 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. Denise R Flynn, DDS
- Title
- Owner
- Phone
- (309) 346-5140
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 00-001854 | IL | Primary |
Addresses
Primary practice location
7310 N Villa Lake Dr Ste C
Peoria, IL 61614-8268
Mailing address
7310 N Villa Lake Dr Ste C
Peoria, IL 61614-8268
Phone (309) 346-5140
National Provider Directory
National Provider Directory- Tax ID family
- Denise R Flynn DDS LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Peoria, IL
- NPI 1619144524
Locations
600 S 4th St
Pekin, IL 61554
Phone (309) 346-5140
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pekin, IL
- NPI 1194817080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1457536732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 N VILLA LAKE DR STE C",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148268",
"telephone_number": "309-346-5140",
"fax_number": "309-346-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 N VILLA LAKE DR STE C",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148268",
"telephone_number": "309-346-5140",
"fax_number": "309-346-1847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENISE R. FLYNN DDS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-04",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-346-5140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "00-001854",
"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 May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.