Loretta Davis

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-024468 Issued in IL

Practice address

1190 S Randall Rd Ste 102
Elgin, IL 60123-4110

Phone

(477) 170-4148

NPI assigned

Nov 13, 2006

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loretta C. Davis, D.D.S. & Associates (Spring Hill), LTD.

  dba DentalWorks

  • General Practice Dentistry
  • Elgin, IL
  • NPI 1609846005
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1144391855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 S RANDALL RD STE 102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234110",
            "telephone_number": "477-170-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S RANDALL RD STE 102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234110",
            "telephone_number": "477-170-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LORETTA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-024468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a. Doyle, D.D.S, P.C. (Beacon Hill Dental Care)
• Stephannie Davies, MD
• Haley Davino
• Denise Davis, MS RN NPC
• Jennifer K Davis
• Nicole Davis, APN
• Robert E Davis Jr., MSW
• Dawn to Dusk Therapeutic Massage, Inc.
• Brea McKay Dawson
• Brittany Nicole Dazzo, PT

• General Practice Dentistry in Elgin, IL
• Providers in Elgin, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.