TMJ & SLEEP APNEA CENTER OF CENTRAL IL
NPI 1962745232
Dentist in East Peoria, IL

Q: What is Central Illinois Center For Tmj And Facial Pain PC's specialty?

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

Active since April 04, 2013

731 SABRINA DR, SUITE A, EAST PEORIA, IL 61611(309) 699-1300 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tmj & Sleep Apnea Center Of Central Il NPPES

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

TMJ & SLEEP APNEA CENTER OF CENTRAL IL (NPI 1962745232) is a healthcare organization registered as a dentist in East Peoria, Illinois and active in the NPI registry since April 2013. The organization lists Jack G Walz, Ceo/director, as its authorized official.

NPPES Registry Identity

NPI1962745232

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCENTRAL ILLINOIS CENTER FOR TMJ AND FACIAL PAIN PC

Location Address731 SABRINA DR, SUITE AEast Peoria, IL 61611-3581

Mailing Address731 Sabrina Dr, Suite AEast Peoria, IL 61611-3581 · (309) 699-1300

Phone(309) 699-1300

Organization SubpartNo

Authorized OfficialJack G WalzCeo/director · (309) 699-1300

Enumeration DateApril 4, 2013

✔ NPI 1962745232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 060008862

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.

731 SABRINA DR, East Peoria, IL 61611

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Other Names 1

Doing Business AsTmj & Sleep Apnea Center Of Central Il

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tmj & Sleep Apnea Center Of Central Il is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tmj & Sleep Apnea Center Of Central Il, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jack Walz, DDS

Oral Surgery

NPI 1427166008

731 SABRINA DRIVE STE A
East Peoria, IL 61611

(309) 699-1300

✔ PECOS0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Central Illinois Center For Tmj And Facial Pain PC's NPI number?

The NPI number for Central Illinois Center For Tmj And Facial Pain PC is 1962745232. It was assigned to this organization in the NPPES registry on April 4, 2013. The provider is doing business as Tmj & Sleep Apnea Center Of Central Il.

Where is Central Illinois Center For Tmj And Facial Pain PC located?

Central Illinois Center For Tmj And Facial Pain PC is located at 731 Sabrina Dr Suite A, East Peoria, IL 61611. The listed phone number is (309) 699-1300.

What is Central Illinois Center For Tmj And Facial Pain PC's specialty?

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

Is Central Illinois Center For Tmj And Facial Pain PC enrolled in Medicare?

Yes. Central Illinois Center For Tmj And Facial Pain PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Illinois Center For Tmj And Facial Pain PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Central Illinois Center For Tmj And Facial Pain PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central Illinois Center For Tmj And Facial Pain PC was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.