Active NPI
Erika Peters
- Pediatric Dentistry
- Chicago, IL
National Provider Identifier
1629698998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 019.032628
- Practice address
- 2340 N Clybourn Ave
Chicago, IL 60614-2932 - Phone
- (773) 384-3500
- NPI assigned
- Apr 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019.032628 | IL | Primary |
Addresses
Primary practice location
2340 N Clybourn Ave
Chicago, IL 60614-2932
Mailing address
801 S Paulina St RM 256D
Chicago, IL 60612-7210
Phone (312) 413-7714
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201001000224 | IL | Order and Referring Only - Dentist | 2062831654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- epeters69380@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1629698998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S PAULINA ST RM 256D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127210",
"telephone_number": "312-413-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 N CLYBOURN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606142932",
"telephone_number": "773-384-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "ERIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-16",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.032628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.