NPIMap

Organization Active NPI

Riverside Dental Center GPS PLLC

Doing business as Riverside Dental Center

  • General Practice Dentistry
  • Loves Park, IL
National Provider Identifier
1811862196
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVERSIDE DENTAL CENTER GPS PLLC
Doing business as
Riverside Dental Center
Practice address
2028 E Riverside Blvd Ste 210
Loves Park, IL 61111-4800
Phone
(815) 877-4300
NPI assigned
Oct 7, 2025
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
David DimkeNPI 1033343918
Title
Owner
Phone
(815) 877-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2028 E Riverside Blvd Ste 210
Loves Park, IL 61111-4800

Mailing address

2028 E Riverside Blvd Ste 210
Loves Park, IL 61111-4800

Other names 1

  • Riverside Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2028 E Riverside Blvd
Ste 210
Loves Park, IL 61111
Phone (815) 315-4073

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1811862196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E RIVERSIDE BLVD STE 210",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E RIVERSIDE BLVD STE 210",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114800",
            "telephone_number": "815-877-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE DENTAL CENTER GPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "DIMKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-877-4300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

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