Christopher Lee Greenwaldt, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021.003451 Issued in IL

Practice address

6050 Brynwood Dr Ste 205
Rockford, IL 61114-6579

Phone

(815) 201-5955

NPI assigned

Apr 26, 2015

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher Greenwaldt, DMD, P.C.

  • Endodontics
  • Rockford, IL
  • NPI 1073305017
  NPD Authorized official
• Alex Moore, DMD PC

  • Endodontics
  • Rockford, IL
  • NPI 1730676990
  NPD
• Board of Trustees of the University of Illinois

  • Dentist
  • Chicago, IL
  • NPI 1992873921

  Endodontics

  NPD (past)

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

{
    "created_epoch": "1430006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1467849679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 N ASHLAND AVE UNIT 206",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220399",
            "telephone_number": "312-607-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BRYNWOOD DR STE 205",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146579",
            "telephone_number": "815-201-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALDT",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-26",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021.003451",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030223",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001283-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Leitze Green, M.D.
• Maria Juanita Green
• Natalie Lea Green, COTA/L
• Rona Laticia Green, LPC
• Roger L Greenlaw, M.D.
• Greenwood Osteopractic Physical Therapy & Educational Services PLLC
• Jessica M Gregg, MSW LCSW
• Julie Ann Gregg, ATC
• Sarah J Gregg, OD
• Erin K Grenke, LCPC

• Endodontics in Rockford, IL
• Providers in Rockford, IL by specialty
• Endodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.