Individual provider Active NPI

Maria M Loukas, DDS

  • Dentist
  • Park Ridge, IL
National Provider Identifier
1124424437
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019017229 Issued in IL
Practice address
714 Higgins Rd
Park Ridge, IL 60068-5720
Phone
(847) 696-1919
Fax
(847) 696-1818
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019017229 IL Primary

Addresses

Primary practice location

714 Higgins Rd
Park Ridge, IL 60068-5720

Mailing address

714 Higgins Rd
Park Ridge, IL 60068-5720
Phone (847) 696-1919

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

LicenseStateTypeSpecialty
019017229ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria M Loukas DDS LTD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1124424437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685720",
            "telephone_number": "847-696-1919",
            "fax_number": "847-696-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685720",
            "telephone_number": "847-696-1919",
            "fax_number": "847-696-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUKAS",
        "first_name": "MARIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017229",
            "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 Nov 13, 2014; 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.