Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RYAN PETERSON D.M.D.
NPI 1841676764
Dentist - General Practice in La Grange Park, IL

Active since August 03, 2015PECOS Enrolled
360 SHERWOOD RD, LA GRANGE PARK, IL 60526(708) 354-7363 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Peterson D.m.d. NPPES

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

DR. RYAN PETERSON D.M.D. (NPI 1841676764) is an individual general practice provider in La Grange Park, Illinois, licensed in Illinois (019.030355) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841676764
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RYAN PETERSONCredential: D.M.D.
Location Address360 SHERWOOD RDLa Grange Park, IL 60526-1967
Mailing Address360 Sherwood RdLa Grange Park, IL 60526-1967 · (708) 354-7363
Sole ProprietorNo
Enumeration DateAugust 3, 2015
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1841676764 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 · 019.030355
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.
360 SHERWOOD RD, La Grange Park, IL 60526

Accepted Insurance

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. Ryan Peterson D.m.d. 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 60526 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 3

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

Clinic/Center (Dental)
360 SHERWOOD RD
LA GRANGE PARK, IL 60526
Dentist
360 SHERWOOD RD
LA GRANGE PARK, IL 60526
Dentist
360 SHERWOOD RD
LA GRANGE PARK, IL 60526

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 Ryan Peterson's NPI number?

The NPI number for Ryan Peterson is 1841676764. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Ryan Peterson located?

Ryan Peterson practices at 360 Sherwood Rd, La Grange Park, IL 60526. The listed phone number is (708) 354-7363.

What is Ryan Peterson's specialty?

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

Is Ryan Peterson enrolled in Medicare?

Yes. Ryan Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Peterson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Ryan Peterson 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 Ryan Peterson was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.