Loretta A Smith, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019-020966 Issued in IL

Practice address

9035 S Western Ave
Chicago, IL 60620-6133

Phone

(773) 445-7777

Fax

(773) 445-7750

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1346365731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606206133",
            "telephone_number": "773-445-7777",
            "fax_number": "773-445-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606206133",
            "telephone_number": "773-445-7777",
            "fax_number": "773-445-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORETTA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019-020966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Smith, MD
• Linda Smith
• Lindy Smith, DO
• Lisa Emiko Smith, APRN, CRNA
• Lonnetta Smith, CNA
• Lori Hunsaker Smith
• Louise C. Smith
• Madison Smith, RDN, LDN
• Maiya Smith
• Marcus Donald Smith, LPC

• Pediatric Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.