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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHRUTI SIVAKUMAR DDS
NPI 1972429116
Dentist - General Practice in Peoria, IL

Active since June 24, 2026
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shruti Sivakumar Dds NPPES

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

SHRUTI SIVAKUMAR DDS (NPI 1972429116) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (019.037230) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1972429116
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHRUTI SIVAKUMARCredential: DDS
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address16859 Yellowstone DrNorthville, MI 48168-6846 · (248) 719-8509
Phone(309) 655-2000
Sole ProprietorNo
Enumeration DateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1972429116 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 · 019.037230
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.
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

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

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Shruti Sivakumar's NPI number?

The NPI number for Shruti Sivakumar is 1972429116. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Where is Shruti Sivakumar located?

Shruti Sivakumar practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Shruti Sivakumar's specialty?

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

When was this NPI record last updated?

The NPPES record for Shruti Sivakumar 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 51 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.