Illinois Endodontics, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ILLINOIS ENDODONTICS, LLC

Practice address

2916 Crossing CT Ste C
Champaign, IL 61822-5900

Phone

(217) 352-5809

Fax

(217) 352-5812

NPI assigned

Dec 14, 2022

Last updated

Dec 14, 2022By 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

Dr. Heath Grote, DMDNPI 1235184482

Title

Owner / Dentist

Phone

(217) 377-1499

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Heath A Grote, D.M.D.

  • Endodontics
  • Champaign, IL
  • NPI 1235184482
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1629780267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 RIVER BLUFF CT",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618533677",
            "telephone_number": "217-377-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 CROSSING CT STE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618225900",
            "telephone_number": "217-352-5809",
            "fax_number": "217-352-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "GROTE",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "217-377-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.illinoisrootcanal.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "general",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "2916 Crossing Ct Ste C",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618225900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Illinois Anesthesia Coverage P.C.
• Illinois Spine and Pain Center SC
• Improving Smiles LTD (Champaign Dental Care)
• Independence Holding Co LLC (complete care pharmacy champaign)
• Independence Holding Co LLC (Complete Care Pharmacy)
• Breanna Ingle

• Dental Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.