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DR. TREVOR DANIEL RICHMOND DMD
NPI 1033735089
Dentist - Periodontics in Dunlap, IL

Active since June 24, 2020PECOS Enrolled
11825 N KNOXVILLE AVE, DUNLAP, IL 61525(309) 740-3901 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Jun 24, 2020 (2 updates tracked since 2020).

About Dr. Trevor Daniel Richmond Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR DANIEL RICHMOND DMD (NPI 1033735089) is an individual periodontics provider in Dunlap, Illinois, licensed in Illinois (021.003328) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1033735089
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. TREVOR DANIEL RICHMONDCredential: DMD
Location Address11825 N KNOXVILLE AVEDunlap, IL 61525-8842
Mailing Address7713 S Stranz RdMapleton, IL 61547-9412 · (309) 431-1512
Phone(309) 740-3901
Sole ProprietorNo
Enumeration DateJune 24, 2020
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1033735089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 021.003328
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 019.032728 (IL)
11825 N KNOXVILLE AVE, Dunlap, IL 61525
Open in Google Maps ↗

Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 624-2411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trevor Daniel Richmond Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC
Clinic/Center (Oral and Maxillofacial Surgery)
11825 N KNOXVILLE AVE
DUNLAP, IL 61525
Peoria County (309) 243-8980
MAPLE SHADE DENTAL GROUP
Dentist (Oral and Maxillofacial Surgery)
11825 N KNOXVILLE AVE
DUNLAP, IL 61525
Peoria County (309) 243-7702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Richmond's NPI number?

The NPI number for Trevor Richmond is 1033735089. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Trevor Richmond located?

Trevor Richmond practices at 11825 N Knoxville Ave, Dunlap, IL 61525. The listed phone number is (309) 740-3901.

What is Trevor Richmond's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Trevor Richmond enrolled in Medicare?

Yes. Trevor Richmond is registered in the Medicare PECOS enrollment system.

What insurance does Trevor Richmond accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Trevor Richmond as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trevor Richmond was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.