Illiana Endodontics, P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021001405 Issued in IL

Legal business name

ILLIANA ENDODONTICS, P.C.

Practice address

934 Richard Rd
Dyer, IN 46311-1936

Phone

(219) 865-9790

Fax

(708) 755-2027

NPI assigned

Nov 16, 2006

Last updated

Apr 24, 2026By 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. Michael John Mintz, DDSNPI 1598848715

Title

President

Phone

(708) 755-2021

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Michael John Mintz, DDS

  • Endodontics
  • Dyer, IN
  • NPI 1598848715
  NPD Authorized official
• John Jacob Kussmaul Jr., D.D.S.

  • Endodontics
  • Dyer, IN
  • NPI 1811011158
  NPD (past)
• Lorne Eric Pulver, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Highland, IN
  • NPI 1013009281
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1912070228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111936",
            "telephone_number": "219-865-9790",
            "fax_number": "708-755-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 RICHARD RD",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111936",
            "telephone_number": "219-865-9790",
            "fax_number": "708-755-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLIANA ENDODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-755-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021001405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hariclia Elena Hristea, MD
• Candice Joi Hunter, M.D.
• Jay S Hwang, M.D.
• Ignite Medical Resort Dyer, LLC
• Illiana Cardiovascular Consultants, LLC
• Illiana Foot & Ankle Specialists, P.C.
• Obinna Charles Iluba, CRNA
• Incare Home Healthcare, Inc.
• Incare Home Healthcare, Inc.
• Indiana Xpress Ortho Care, LLC

• Endodontics in Dyer, IN
• Providers in Dyer, IN by specialty
• Endodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.