NPIMap

Organization Active NPI

Bischoff Dentistry

  • Dentist
  • Loves Park, IL
National Provider Identifier
1144670563
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.030619 Issued in IL
Legal business name
BISCHOFF DENTISTRY
Practice address
6726 Commonwealth Dr
Loves Park, IL 61111-8625
Phone
(815) 633-7220
NPI assigned
Jun 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
Dr. Richard J BischoffNPI 1407982564
Title
DDS
Phone
(815) 633-7220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.030619 IL Primary

Addresses

Primary practice location

6726 Commonwealth Dr
Loves Park, IL 61111-8625

Mailing address

6726 Commonwealth Dr
Loves Park, IL 61111-8625
Phone (815) 633-7220

National Provider Directory

National Provider Directory

Locations

6726 Commonwealth Dr
Loves Park, IL 61111
Phone (815) 633-7220

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1144670563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6726 COMMONWEALTH DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118625",
            "telephone_number": "815-633-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6726 COMMONWEALTH DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118625",
            "telephone_number": "815-633-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISCHOFF DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "BISCHOFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "815-633-7220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.