Individual provider Active NPI

Salvatore A Sciortino, D.D.S.

  • General Practice Dentistry
  • Rockford, IL
National Provider Identifier
1619921772
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
A13453 Issued in IL
Practice address
129 S Phelps Ave
Suite 307
Rockford, IL 61108-2453
Phone
(815) 399-2337
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X A13453 IL Primary

Addresses

Primary practice location

129 S Phelps Ave
Suite 307
Rockford, IL 61108-2453

Mailing address

1511 Bryn Mawr LN
Rockford, IL 61107-2523
Phone (815) 398-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A13453ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619921772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 BRYN MAWR LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072523",
            "telephone_number": "815-398-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 S PHELPS AVE",
            "address_2": "SUITE 307",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082453",
            "telephone_number": "815-399-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIORTINO",
        "first_name": "SALVATORE",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "A13453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.