Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376806224 Individual Practitioner Male Practitioner

Dr. James Peterson , DDS

Dentist - General Practice • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. James Peterson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, IL. Practice services are available at 2501 W ILES AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2501 W Iles Ave Ste A

Springfield, IL 627046482

Telephone 2174523057
Associated Practice Facility / Clinic
🏢 Peterson Dental Care Llc Facility NPI 1316430952

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
77 Specialists

Practicing in Springfield, 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: 2025-03-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019029045

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.

Dentist - Dental Public Health

NUCC Taxonomy Code: 1223D0001X

State License IL 019029045

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Illinois License Number
019029045 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Junitta Stieren

Nurse Practitioner - Family

NPI 1073501078
Evelyn Sheaff , FNP-BC

Nurse Practitioner - Family

NPI 1073815403

Family Nurse Practitioner (Board Certified)

Dr. William Capati , DO

Dentist - General Practice

NPI 1134325160

Doctor of Osteopathic Medicine (D.O.)

NPI 1164663191

Doctor of Dental Medicine

Paul Nguyen

Dentist - General Practice

NPI 1184487118
NPI 1194419648

Doctor of Dental Medicine, Master of Arts

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location March 04, 2025

Registered at 2501 W ILES AVE STE A, SPRINGFIELD, IL 627046482 (Tel: 2174523057)

📍
Updated Business Mailing Address March 04, 2025

Registered at 2501 W ILES AVE STE A, SPRINGFIELD, IL 627046482 (Tel: 2174523057)

NPI Profile Active June 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2016

Registered at 331 S MAIN ST, VIRGINIA, IL 626911571 (Tel: 2174523057)

📍
Updated Business Mailing Address June 01, 2016

Registered at 331 S MAIN ST, VIRGINIA, IL 626911571 (Tel: 2174523057)

👤
Provider Name / Credentials Updated June 01, 2016

Recorded as JAMES PETERSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2016

Dentist (License #019029045 in IL)

🟢
Initial NPI Registration & Enumeration June 15, 2012

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: 1376806224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2012
Last Update: March 04, 2025
Sole Proprietor: No

Mailing Address

2501 W Iles Ave Ste A

Springfield, IL 627046482

Phone: 2174523057

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.