NPIMap

Organization Active NPI

H & H Family Dental, PC

  • General Practice Dentistry
  • Bloomington, IL
National Provider Identifier
1669558250
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025505 Issued in IL
Legal business name
H & H FAMILY DENTAL, PC
Practice address
10 Heartland Dr
Suite a
Bloomington, IL 61704-7741
Phone
(309) 662-0523
Fax
(309) 662-7693
NPI assigned
Oct 27, 2006
Organization subpart
Yes
Parent organization
H & H FAMILY DENTAL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Julie Lipic
Title
Office Manager
Phone
(309) 662-0523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019-025505 IL Primary

Addresses

Primary practice location

10 Heartland Dr
Suite a
Bloomington, IL 61704-7741

Mailing address

10 Heartland Dr
Suite a
Bloomington, IL 61704-7741
Phone (309) 662-0523

Other identifiers 1

IdentifierTypeStateIssuer
33486OtherILBCBS ID#

Other names 1

  • Holmes Dental Associates, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
H H Family Dental PC3 organizations share this tax ID, including this one
Part of
H H Family Dental PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1669558250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEARTLAND DR",
            "address_2": "SUITE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047741",
            "telephone_number": "309-662-0523",
            "fax_number": "309-662-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEARTLAND DR",
            "address_2": "SUITE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047741",
            "telephone_number": "309-662-0523",
            "fax_number": "309-662-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & H FAMILY DENTAL, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "H & H FAMILY DENTAL, PC",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "LIPIC",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-662-0523"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID#",
            "identifier": "33486",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes Dental Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Holmes Dental Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.