DENTSENSUS, PLLC
NPI 1649063793
Clinic/Center - Dental in Peoria, IL

NPI Status: Active since May 22, 2025

Contact Information

1320 W NORTHMOOR RD STE A
PEORIA, IL
ZIP 61614
Phone: (414) 841-2881

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  • Organization
  • Clinic/Center
  • Dental

About DENTSENSUS, PLLC

This page provides the complete NPI Profile along with additional information for Dentsensus, Pllc, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1649063793 assigned on May 2025. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated May 2025. The authorized official of this NPI record is Jack Kalloch Dmd (Dentist)

NPI
1649063793
Provider Name
DENTSENSUS, PLLC
Entity Type
Organization
Location Address
1320 W NORTHMOOR RD STE A PEORIA, IL 61614
Location Phone
(414) 841-2881
Mailing Address
810 E BROWN DEER RD MILWAUKEE, WI 53217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2025
Last Update Date
05-22-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACK KALLOCH DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(414) 841-2881

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649063793
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689066718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 0 + 6 + 6 + 7 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1649063793 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649063793, enumerated in the NPI registry as an "organization" on May 22, 2025

The provider is located at 1320 W Northmoor Rd Ste A Peoria, Il 61614 and the phone number is (414) 841-2881

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on May 22, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.