Organization Active NPI

Gurnee Dental Arts

  • Dental Clinic/Center
  • Gurnee, IL
National Provider Identifier
1588919989
Registry record updated Jul 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-026161 Issued in IL
Legal business name
GURNEE DENTAL ARTS
Practice address
731 S Il Route 21
Suite #160
Gurnee, IL 60031-3813
Phone
(224) 433-6009
Fax
(224) 433-6397
NPI assigned
Jul 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2012

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

Authorized official

Name
Dr. Desiree Loreno, DDSNPI 1053561308
Title
Owner
Phone
(773) 550-5919

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
Dental Clinic/Center 261QD0000X 019-026161 IL Primary

Addresses

Primary practice location

731 S Il Route 21
Suite #160
Gurnee, IL 60031-3813

Mailing address

731 S Il Route 21
Suite #160
Gurnee, IL 60031-3813
Phone (224) 433-6009

National Provider Directory

National Provider Directory

Locations

731 S Il Route 21
Ste 160
Gurnee, IL 60031
Phone (224) 433-6009

Practitioners & affiliated clinicians

Practitioners 1

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": "1342915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342915200000",
    "number": "1588919989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21",
            "address_2": "SUITE #160",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313813",
            "telephone_number": "224-433-6009",
            "fax_number": "224-433-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21",
            "address_2": "SUITE #160",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313813",
            "telephone_number": "224-433-6009",
            "fax_number": "224-433-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURNEE DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-22",
        "last_updated": "2012-07-22",
        "status": "A",
        "authorized_official_last_name": "LORENO",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-550-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-026161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.