1. Home
  2. Directory
  3. Illinois
  4. Kankakee
  5. Dentist
  6. NPI Profile

JOHN T PETERSON DDS PC
NPI 1437436664
Dentist in Kankakee, IL

Active since November 16, 2011
200 E COURT ST, SUITE 504, KANKAKEE, IL 60901(815) 932-3613 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John T Peterson Dds Pc NPPES

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

JOHN T PETERSON DDS PC (NPI 1437436664) is a healthcare organization registered as a dentist in Kankakee, Illinois and active in the NPI registry since November 2011. The organization lists John T Peterson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1437436664
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameJOHN T PETERSON DDS PC
Location Address200 E COURT ST, SUITE 504Kankakee, IL 60901-3843
Mailing Address200 E Court St, Suite 504Kankakee, IL 60901-3843 · (815) 932-3613
Phone(815) 932-3613
Organization SubpartNo
Authorized OfficialJohn T PetersonDentist · (815) 932-3613
Enumeration DateNovember 16, 2011
✔ NPI 1437436664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 19A14762
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
200 E COURT ST, Kankakee, IL 60901
Open in Google Maps ↗

Other Identifiers 3

Medicaid1003311IL
Other021076IL · First Commonwealth
Other606970IL · United Concordia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

EMILY KRZYSTYNIAK
Speech-Language Pathologist
200 E COURT ST
KANKAKEE, IL 60901
Kankakee County (815) 304-5548
AL WEATHERFORD DDS INC
Dentist (General Practice)
200 E COURT ST, SUITE 504
KANKAKEE, IL 60901
Kankakee County (815) 932-3613
MRS. JENNIFER JEAN KRAVAT M.S. CCC/SLP-L
Speech-Language Pathologist
200 E COURT ST, SUITE 708
KANKAKEE, IL 60901
Kankakee County (815) 409-6456
DEBORAH WRIGHT RN
Registered Nurse
200 E COURT ST, SUITE 500
KANKAKEE, IL 60901
Kankakee County (815) 933-3955

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 T Peterson Dds PC's NPI number?

The NPI number for John T Peterson Dds PC is 1437436664. It was assigned to this organization in the NPPES registry on November 16, 2011.

Where is John T Peterson Dds PC located?

John T Peterson Dds PC is located at 200 E Court St Suite 504, Kankakee, IL 60901. The listed phone number is (815) 932-3613.

What is John T Peterson Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for John T Peterson Dds PC was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.