Bloomington Family Dental, LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLOOMINGTON FAMILY DENTAL, LTD.

Practice address

908 N Hershey Rd
Suite 2
Bloomington, IL 61704-3730

Phone

(309) 664-0570

Fax

(309) 664-6612

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Peter Van Scoyoc, DDSNPI 1225241011

Title

President

Phone

(309) 664-0570

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Peter Vanscoyoc, DDS

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1225241011
  NPD (past) Authorized official
• Stacey Karzen Van Scoyoc, DDS

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1194933283
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467674770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N HERSHEY RD",
            "address_2": "SUITE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043730",
            "telephone_number": "309-664-0570",
            "fax_number": "309-664-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N HERSHEY RD",
            "address_2": "SUITE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043730",
            "telephone_number": "309-664-0570",
            "fax_number": "309-664-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON FAMILY DENTAL, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN SCOYOC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-664-0570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Bland
• Dawn Blocklinger Campos, RD, LDN
• Eva J Bloda, DDS
• Bloomington Chiropractic Center, LTD.
• Bloomington Eye Institute LLC
• Bloomington Medical Distribution LLC
• Bloomington Medical Laboratory Physicians, S.C.
• Bloomington Normal Audiology
• Bloomington Normal Birthing Center
• Bloomington Normal Birthing Center

• General Practice Dentistry in Bloomington, IL
• Providers in Bloomington, 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 Aug 22, 2020; 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.