Organization Active NPI

Denise R. Flynn DDS LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peoria, IL
National Provider Identifier
1457536732
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
00-001854 Issued in IL
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

Updated by the provider on May 14, 2025

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

Authorized official

Name
Dr. Denise R Flynn, DDSNPI 1194817080
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.