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DR. KERI LYNN SUNDBERG DDS
NPI 1568536845
Dentist - General Practice in Mendota, IL

Active since November 20, 2006PECOS Enrolled
WEST SIDE FAMILY DENTISTRY, LTD., 709 PLAZA DRIVE, MENDOTA, IL 61342(815) 539-7004(815) 539-7060 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2022, Sep 29, 2022 (2 updates tracked since 2022).

About Dr. Keri Lynn Sundberg Dds NPPES

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

DR. KERI LYNN SUNDBERG DDS (NPI 1568536845) is an individual general practice provider in Mendota, Illinois, licensed in Illinois (019025531) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568536845
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KERI LYNN SUNDBERGCredential: DDS
Location AddressWEST SIDE FAMILY DENTISTRY, LTD., 709 PLAZA DRIVEMendota, IL 61342
Mailing Address709 Plaza DriveMendota, IL 61342 · (815) 539-7004 · Fax (815) 539-7060
Phone(815) 539-7004
Fax(815) 539-7060
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1568536845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019025531
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.
WEST SIDE FAMILY DENTISTRY, LTD., Mendota, IL 61342
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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. Keri Lynn Sundberg 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 61342 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.

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 Keri Sundberg's NPI number?

The NPI number for Keri Sundberg is 1568536845. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Keri Sundberg located?

Keri Sundberg practices at West Side Family Dentistry, Ltd. 709 Plaza Drive, Mendota, IL 61342. The listed phone number is (815) 539-7004.

What is Keri Sundberg's specialty?

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

Is Keri Sundberg enrolled in Medicare?

Yes. Keri Sundberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keri Sundberg was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.