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DEREK P GRZANICH DDS
NPI 1487736112
Dentist - Endodontics in Peoria, IL

Active since October 20, 2006
9016 N ALLEN RD, SUITE B, PEORIA, IL 61615(309) 690-4500(309) 690-4500 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek P Grzanich Dds NPPES

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

DEREK P GRZANICH DDS (NPI 1487736112) is an individual endodontics provider in Peoria, Illinois, licensed in Texas (29339) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1487736112
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDEREK P GRZANICHCredential: DDS
Location Address9016 N ALLEN RD, SUITE BPeoria, IL 61615-1513
Mailing Address5518 W Brookmere DriveEdwards, IL 61528-9407 · (309) 683-2877
Phone(309) 690-4500
Fax(309) 690-4500
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
✔ NPI 1487736112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in TX · 29339
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 019026724 (IL)
9016 N ALLEN RD, Peoria, IL 61615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

STEVEN J MAHANY DMD
Dentist (General Practice)
9016 N ALLEN RD, SUITE B
PEORIA, IL 61615
Peoria County (309) 690-4500
KELLY ABRAMS DDS
Dentist (General Practice)
9016 N ALLEN RD, SUITE B
PEORIA, IL 61615
Peoria County (309) 690-4500

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 Derek Grzanich's NPI number?

The NPI number for Derek Grzanich is 1487736112. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Derek Grzanich located?

Derek Grzanich practices at 9016 N Allen Rd Suite B, Peoria, IL 61615. The listed phone number is (309) 690-4500.

What is Derek Grzanich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Derek Grzanich accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 16 other insurers list Derek Grzanich 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 Derek Grzanich was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.