Organization Active NPI

Steinwedel Dental Associates, P.C.

  • Dentist
  • Peoria, IL
National Provider Identifier
1972991032
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STEINWEDEL DENTAL ASSOCIATES, P.C.
Practice address
2425 W Cornerstone CT
Suite B
Peoria, IL 61614-2494
Phone
(309) 693-2232
Fax
(309) 693-3796
NPI assigned
Dec 24, 2014
Last updated
Dec 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Authorized official

Name
John Steinwedel, DMDNPI 1912065764
Title
President
Phone
(309) 693-2232

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2425 W Cornerstone CT
Suite B
Peoria, IL 61614-2494

Mailing address

2425 W Cornerstone CT
Suite B
Peoria, IL 61614-2494
Phone (309) 693-2232

National Provider Directory

National Provider Directory

Locations

2425 W Cornerstone Ct
Ste B
Peoria, IL 61614
Phone (309) 693-2232

Practitioners & affiliated clinicians

Practitioners 2

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": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1972991032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W CORNERSTONE CT",
            "address_2": "SUITE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142494",
            "telephone_number": "309-693-2232",
            "fax_number": "309-693-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W CORNERSTONE CT",
            "address_2": "SUITE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142494",
            "telephone_number": "309-693-2232",
            "fax_number": "309-693-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEINWEDEL DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "STEINWEDEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-693-2232",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.