Organization Active NPI

Heather Hruskocy DMD PC

  • Dentist
  • Lake Forest, IL
National Provider Identifier
1639805138
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEATHER HRUSKOCY DMD PC
Practice address
1089 Conway Rd
Lake Forest, IL 60045-2617
Phone
(847) 436-3882
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Heather Hruskocy, DMDNPI 1578971339
Title
Dentist
Phone
(847) 436-3882

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1089 Conway Rd
Lake Forest, IL 60045-2617

Mailing address

1089 Conway Rd
Lake Forest, IL 60045-2617
Phone (847) 436-3882

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Team@lfsmileloft.com Direct

National Provider Directory

National Provider Directory

Locations

1089 Conway Rd
Lake Forest, IL 60045
Phone (224) 416-3780

Interoperability endpoints

  • Direct secure messaging: team@lfsmileloft.com

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": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1639805138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 CONWAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452617",
            "telephone_number": "847-436-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 CONWAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452617",
            "telephone_number": "847-436-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HRUSKOCY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "HRUSKOCY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-436-3882",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Team@lfsmileloft.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1089 Conway Rd",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600452617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.