Illinois Institute of Dental Sleep Medicine Inc

Primary specialty

DentistTaxonomy code 122300000X

License

019.019599 Issued in IL

Legal business name

ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC

Practice address

11825 State Route 40 Ste 100
Dunlap, IL 61525-8842

Phone

(309) 243-8980

NPI assigned

Apr 25, 2013

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INCAs reported in NPPES

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

Authorized official

Name

Dr. Rodney Willey, DDSNPI 1144409806

Title

Owner

Phone

(309) 282-8565

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Illinois Institute of Dental Sleep Medicine PLLC

  • Dentist
  • Dunlap, IL
  • NPI 1740518380

  O20100728000545

  Same enrollment

Part of

Illinois Institute of Dental Sleep Medicine Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Illinois Institute of Dental Sleep Medicine PLLC

  • Dentist
  • Dunlap, IL
  • NPI 1740518380
  NPPES parent name

Practitioners 2

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.

• Rodney Earl Willey, DDS

  • Dentist
  • Dunlap, IL
  • NPI 1144409806
  NPD Authorized official
• Hollie Nicole Hangartner, APN

  • Nurse Practitioner
  • Dunlap, IL
  • NPI 1669015566
  NPD

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1619311248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40",
            "address_2": "100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-282-8565",
            "fax_number": "309-265-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 STATE ROUTE 40 STE 100",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615258842",
            "telephone_number": "309-243-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC",
        "enumeration_date": "2013-04-25",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-282-8565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.019599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grose
• Stacy Anne Hafele, M.S.
• Hollie Nicole Hangartner, APN
• Grace Hendrick, RN
• Brianna Kay Henseler
• Illinois Institute of Dental Sleep Medicine PLLC
• Jackson Sleep Centers PLLC (Koala Center for Sleep & TMJ Disorders MI-1)
• Jet Dental of Illinois, PLLC
• Kimberly Jenine Johnson, ED.D
• Laurie Michelle Kaplan, RD

• Dentist in Dunlap, IL
• Providers in Dunlap, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.