Organization Active NPI

James G. Loeser, DDS, MD, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Park Ridge, IL
National Provider Identifier
1073849139
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
036121553 Issued in IL
Legal business name
JAMES G. LOESER, DDS, MD, PC
Practice address
1580 N Northwest Hwy
#300
Park Ridge, IL 60068-1444
Phone
(847) 390-8200
Fax
(847) 390-8200
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James G Loeser, M.D.
Title
Ceo
Phone
(847) 390-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 036121553 IL Primary

Addresses

Primary practice location

1580 N Northwest Hwy
#300
Park Ridge, IL 60068-1444

Mailing address

1580 N Northwest Hwy
#300
Park Ridge, IL 60068-1444
Phone (847) 390-8200

National Provider Directory

National Provider Directory

Locations

1580 N Northwest Hwy
Ste 300
Park Ridge, IL 60068
Phone (847) 390-8200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1073849139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "#300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-390-8200",
            "fax_number": "847-390-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY",
            "address_2": "#300",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681444",
            "telephone_number": "847-390-8200",
            "fax_number": "847-390-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G. LOESER, DDS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "LOESER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-390-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "036121553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.