Active NPI
Ian Joseph Offord
- General Practice Dentistry
- Calumet City, IL
National Provider Identifier
1093489627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019033102
- Practice address
- 313 River Oaks Dr
Calumet City, IL 60409-5816 - Phone
- (708) 862-2328
- NPI assigned
- Aug 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019033102 | IL | Primary |
Addresses
Primary practice location
313 River Oaks Dr
Calumet City, IL 60409-5816
Mailing address
1338 S Michigan Ave Unit 508
Chicago, IL 60605-2602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019033102 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ian Offord, DMD, Inc. | General Practice | Current | Accepting new patients |
| Family Dental Care of Calumet City | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Petaluma, CA
- NPI 1477413102
-
- Dentist
- Calumet City, IL
- NPI 1427268051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1093489627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 S MICHIGAN AVE UNIT 508",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 RIVER OAKS DR",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095816",
"telephone_number": "708-862-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFORD",
"first_name": "IAN",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019033102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.