Thomas R. Nalepka D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018403 Issued in NU

Legal business name

THOMAS R. NALEPKA D.D.S

Practice address

809 W Camp St
East Peoria, IL 61611

Phone

(309) 694-0606

Fax

(309) 694-0677

NPI assigned

Jan 23, 2007

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Jolyn Bender, RDH

Title

Office Manager

Phone

(309) 694-0606

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas R Nalepka, D.D.S.

  • Dentist
  • East Peoria, IL
  • NPI 1326309188
  NPD (past)
• Morgan Marie Shanahan, DMD

  • Dentist
  • East Peoria, IL
  • NPI 1093384828
  NPD (past)
• Ebun Susan Ola-John, DDS

  • Dentist
  • Concord, NC
  • NPI 1770745333
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1548315575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W CAMP ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "61611",
            "telephone_number": "309-694-0606",
            "fax_number": "309-694-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W CAMP ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "61611",
            "telephone_number": "309-694-0606",
            "fax_number": "309-694-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R. NALEPKA D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JOLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-694-0606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": "019018403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tazewell Physical Medicine SC
• Tazwood Mental Health Center, Inc.
• Tazwood Mental Health Center, Inc. (Tazwood Center for Wellness)
• Tazwood Mental Health Center, Inc.
• The Loft Rehabilitation of East Peoria LLC
• Lindsey Thornton
• Michele Marie Tingleff, RPH
• Rosalyn T Toombs, COTA/L
• David Ralph Trost, DDS
• William Trulove

• General Practice Dentistry in East Peoria, IL
• Providers in East Peoria, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.