Derek P Grzanich, DDS
Derek P Grzanich is a Endodontics provider (Dentist) practicing in Peoria, IL, registered in the NPPES registry with NPI 1487736112 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487736112 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Derek P Grzanich |
| Credential | DDS |
| Sex | Male |
| Practice address | 9016 N ALLEN RD, SUITE B, Peoria, IL, 61615 |
| Phone | 3096904500 |
| Fax | 3096904500 |
| Enumeration date | 2006-10-20 |
| Last updated in NPPES | 2025-09-12 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Secondary | 019026724 | IL |
| 1223E0200X | Endodontics | Primary | 29339 | TX |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Derek Grzanich, DDS NPI: 1487736112 Taxonomy: 1223E0200X (Endodontics) Address: 9016 N ALLEN RD, SUITE B, Peoria, IL, 61615
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619059268 | Steven Mahany | Individual | General Practice Dentistry | Peoria, IL |
| 1730261470 | Kelly Abrams | Individual | General Practice Dentistry | Peoria, IL |
Verify this record
Cross-check NPI 1487736112 against the authoritative CMS record: view Derek P Grzanich on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-12.