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Deactivated NPI 1205092368 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Anthony Pena , RICHARD PENA, DDS

Dentist • Darien, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Pena has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2008
NPI Deactivation Date July 06, 2023
Total Practice Duration ~15 Years of Practice (2008 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Pena, RICHARD PENA, DDS was a registered Dentist practicing in Darien, IL. Throughout an active medical career spanning 15 years, Dr. Pena provided care at the practice location at 1701 GOLFVIEW DR until profile deactivation on 2023-07-06.

Practice Location & Contact Primary Location

Practice Address

1701 Golfview Dr

Darien, IL 605614905

Telephone 6309853546

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Darien, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Darien, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.12770

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 06, 2023

Record deactivated on July 06, 2023

NPI Profile Active July 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 29, 2008

Registered at 1701 GOLFVIEW DR, DARIEN, IL 605614905 (Tel: 6309853546)

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Updated Business Mailing Address July 29, 2008

Registered at 1701 GOLFVIEW DR, DARIEN, IL 605614905 (Tel: 6309853546)

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Provider Name / Credentials Updated July 29, 2008

Recorded as RICHARD PENA, RICHARD PENA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2008

Dentist (License #019.12770 in IL)

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Initial NPI Registration & Enumeration July 29, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205092368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2008
Last Update: July 29, 2008
Deactivation Date: July 06, 2023

Mailing Address

1701 Golfview Dr

Darien, IL 605614905

Phone: 6309853546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.