PUMILIA FAMILY DENTAL LLC
NPI 1679977458
Durable Medical Equipment & Medical Supplies - Customized Equipment in Rockford, IL
About Pumilia Family Dental Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUMILIA FAMILY DENTAL LLC (NPI 1679977458) is a healthcare organization registered as a customized equipment in Rockford, Illinois and active in the NPI registry since October 2014. The organization lists Pacita Marie Pumilia, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pumilia Family Dental Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pumilia Family Dental LLC's NPI number?
The NPI number for Pumilia Family Dental LLC is 1679977458. It was assigned to this organization in the NPPES registry on October 22, 2014.
Where is Pumilia Family Dental LLC located?
Pumilia Family Dental LLC is located at 755 S Mulford Rd, Rockford, IL 61108. The listed phone number is (815) 398-2410.
What is Pumilia Family Dental LLC's specialty?
The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.
Is Pumilia Family Dental LLC enrolled in Medicare?
Yes. Pumilia Family Dental LLC is registered in the Medicare PECOS enrollment system.
When is Pumilia Family Dental LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Illinois, Oral Surgery - Dentist) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Pumilia Family Dental LLC was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Pumilia Family Dental Llc · NPI 1679977458
Customized Equipment organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since October 22, 2014.
## Identity
- **NPI:** 1679977458 (Entity type: Organization)
- **Enumerated:** October 22, 2014
- **Primary specialty:** Durable Medical Equipment & Medical Supplies - Customized Equipment · taxonomy 332BC3200X
- **Organization subpart:** No
- **Authorized official:** Pacita Pumilia, DENTIST
## Practice location
- **Address:** 755 S MULFORD RD, Rockford, IL 61108-4208
- **Phone:** (815) 398-2410 · **Fax:** (815) 398-2620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Illinois, Oral Surgery - Dentist) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1679977458) · Data from the CMS NPPES public registry.