JOHN PETRUCCI DDS
NPI 1124184049
Dentist - General Practice in Glendale Heights, IL

Active since December 28, 2006PECOS Enrolled
328 E ARMY TRAIL RD, GLENDALE HEIGHTS, IL 60139(630) 924-5579 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Petrucci Dds NPPES

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

JOHN PETRUCCI DDS (NPI 1124184049) is an individual general practice provider in Glendale Heights, Illinois and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124184049
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN PETRUCCICredential: DDS
Location Address328 E ARMY TRAIL RDGlendale Heights, IL 60139
Mailing Address328 E Army Trail RdGlendale Heights, IL 60139 · (630) 924-5579
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124184049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
328 E ARMY TRAIL RD, Glendale Heights, IL 60139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Petrucci Dds 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 60139 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

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

Dentist (General Practice)
328 E ARMY TRAIL RD
GLENDALE HTS, IL 60139

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 John Petrucci's NPI number?

The NPI number for John Petrucci is 1124184049. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is John Petrucci located?

John Petrucci practices at 328 E Army Trail Rd, Glendale Heights, IL 60139. The listed phone number is (630) 924-5579.

What is John Petrucci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Petrucci enrolled in Medicare?

Yes. John Petrucci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Petrucci was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.