Active NPI 1336897487 Individual Practitioner Male Practitioner

Dr. Novin Pishevar , DMD

Dentist - General Practice • Dixon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Novin Pishevar, DMD is a registered healthcare professional specializing in Dentist - General Practice in Dixon, IL. Practice services are available at 629 N GALENA AVE STE 230 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

629 N Galena Ave Ste 230

Dixon, IL 610211664

Telephone 6308281278

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dixon, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Dixon, IL (5581 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

CMS Verified: 2022-03-16

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.033506

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

1055 Featherstone Rd Ste B

Rockford, IL 611075904

Phone: 6308281278

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 16, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2022

Registered at 629 N GALENA AVE STE 230, DIXON, IL 610211664 (Tel: 6308281278)

📍

Updated Business Mailing Address March 16, 2022

Registered at 1055 FEATHERSTONE RD STE B, ROCKFORD, IL 611075904

👤

Provider Name / Credentials Updated March 16, 2022

Recorded as NOVIN PISHEVAR, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Dentist (License #019.033506 in IL)

🟢

Initial NPI Registration & Enumeration March 16, 2022

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: 1336897487

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2022

Last Update: March 16, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1055 Featherstone Rd Ste B

Rockford, IL 611075904

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.