NPIMap

Organization Active NPI

Timothy J. Loughran DDS, P.C.

  • Dental Clinic/Center
  • Herrin, IL
National Provider Identifier
1659546406
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-018163-1 Issued in IL
Legal business name
TIMOTHY J. LOUGHRAN DDS, P.C.
Practice address
200 S 16TH St
Herrin, IL 62948-2237
Phone
(618) 988-8130
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Timothy J. LoughranNPI 1295734119
Title
President
Phone
(618) 988-8130

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 019-018163-1 IL Primary

Addresses

Primary practice location

200 S 16TH St
Herrin, IL 62948-2237

Mailing address

200 S 16TH St
Herrin, IL 62948-2237
Phone (618) 988-8130

National Provider Directory

National Provider Directory

Locations

200 S 16th St
Herrin, IL 62948
Phone (618) 988-8130

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": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1659546406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 16TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482237",
            "telephone_number": "618-988-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 16TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482237",
            "telephone_number": "618-988-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. LOUGHRAN DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "LOUGHRAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-988-8130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-018163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.