Individual provider Active NPI

Rachel Hoy

  • Dentist
  • Chicago, IL
National Provider Identifier
1619612454
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.034612 Issued in IL
Practice address
5236 W Belmont Ave
Chicago, IL 60641-4209
Phone
(773) 557-7882
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.034612 IL Primary

Addresses

Primary practice location

5236 W Belmont Ave
Chicago, IL 60641-4209

Mailing address

720 N Larrabee St Apt 1102
Chicago, IL 60654-5070
Phone (847) 609-5926

Other practice location 1

2300 Lehigh Ave Ste 145
Glenview, IL 60026-1692
Phone (847) 998-0155

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
019.034612ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric N. Bloom, DDS, LTD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1619612454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LARRABEE ST APT 1102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545070",
            "telephone_number": "847-609-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5236 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414209",
            "telephone_number": "773-557-7882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Lehigh Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261692",
            "country_code": "US",
            "telephone_number": "847-998-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOY",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.034612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.