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John T Peterson DDS PC

Dentist in Kankakee, IL · enumerated 2011 · authorized official John Peterson, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437436664

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Registry record

Entity type Organization (Type 2)
Legal business name John T Peterson DDS PC
Practice address 200 E Court St, Suite 504, Kankakee, IL, 60901
Phone (815) 932-3613
Enumeration date Nov 16, 2011
Last updated in NPPES Nov 16, 2011

Taxonomy & classification

122300000X Dentist Dental Providers · License 19A14762 (IL) Primary

Authorized official

Name John Peterson
Title Dentist
Phone (815) 932-3613

Other identifiers

Identifier Type State Issuer
1003311 Medicaid IL -
606970 Other IL UNITED CONCORDIA
021076 Other IL FIRST COMMONWEALTH

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is John T Peterson DDS PC?
John T Peterson DDS PC is registered in NPPES as a Dentist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-16.