NPIMap

Organization Active NPI

Bischoff Dentistry, LTD

  • General Practice Dentistry
  • Loves Park, IL
National Provider Identifier
1407190150
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01902201 Issued in IL
Legal business name
BISCHOFF DENTISTRY, LTD
Practice address
6726 Commonwealth Dr
Loves Park, IL 61111-8625
Phone
(815) 633-7220
Fax
(815) 633-7295
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Richard Joseph Bischoff, DDSNPI 1407982564
Title
Dentist
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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 01902201 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

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": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1407190150",
    "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",
            "fax_number": "815-633-7295"
        },
        {
            "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",
            "fax_number": "815-633-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISCHOFF DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "BISCHOFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-633-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01902201",
            "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 Nov 19, 2012; 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.