NPIMap

Organization Active NPI

Dental Loft - the Loop

  • Dentist
  • Chicago, IL
National Provider Identifier
1083069199
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.027663 Issued in IL
Legal business name
DENTAL LOFT - THE LOOP
Practice address
111 W Washington St
Suite 1350
Chicago, IL 60602-2703
Phone
(708) 482-0702
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Kiley Hirons, DDS
Title
Co-Owner
Phone
(708) 482-0702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.027663 IL Primary

Addresses

Primary practice location

111 W Washington St
Suite 1350
Chicago, IL 60602-2703

Mailing address

1 W Harris Ave Ste 2a
La Grange, IL 60525-2497
Phone (708) 482-0702

National Provider Directory

National Provider Directory

Locations

111 W Washington St
Ste 1350
Chicago, IL 60602
Phone (708) 482-0702

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1083069199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W HARRIS AVE STE 2A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252497",
            "telephone_number": "708-482-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "address_2": "SUITE 1350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022703",
            "telephone_number": "708-482-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LOFT - THE LOOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HIRONS",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-482-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.