Individual provider Active NPI

Megan Drab, DDS

  • General Practice Dentistry
  • Rockford, IL
National Provider Identifier
1649143868
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.036395 Issued in IL
Practice address
1110 S Mulford Rd
Rockford, IL 61108-4213
Phone
(815) 398-3879
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 019.036395 IL Primary

Addresses

Primary practice location

1110 S Mulford Rd
Rockford, IL 61108-4213

Mailing address

400 Talcott PL
Park Ridge, IL 60068-5433
Phone (847) 890-3494

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
019.036395ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mys-Roscoe LLC CurrentSince Sep 28, 2025 Accepting new patients
Mys - Rockford LLC General Practice PastSince Sep 28, 2025 Accepting new patients

Locations

1110 S Mulford Rd
Rockford, IL 61108
Phone (815) 398-3879

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1649143868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TALCOTT PL",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685433",
            "telephone_number": "847-890-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084213",
            "telephone_number": "815-398-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAB",
        "first_name": "MEGAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036395",
            "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 Sep 24, 2025; 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.