Individual provider Active NPI

Nathan S Hoffman, D.D.S

  • General Practice Dentistry
  • Oak Lawn, IL
National Provider Identifier
1275762668
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.028024 Issued in IL
Practice address
6735 W 95TH St
Oak Lawn, IL 60453-2112
Phone
(708) 598-0717
NPI assigned
Jul 7, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.028024 IL Primary

Addresses

Primary practice location

6735 W 95TH St
Oak Lawn, IL 60453-2112

Mailing address

6735 W 95TH St
Oak Lawn, IL 60453-2112
Phone (708) 598-0717

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
019.028024ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman of South Loop PLLC Current Accepting new patients
Hoffman of Bucktown PLLC Current Accepting new patients
Hoffman of Uptown PLLC Current Accepting new patients
H & U of West Loop LLC Past Accepting new patients

Locations

443 W Huron St
Chicago, IL 60654
Phone (312) 267-1917

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1275762668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532112",
            "telephone_number": "708-598-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532112",
            "telephone_number": "708-598-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "NATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.