Organization Active NPI

Flor D. Loya DDS LTD

  • Pediatric Dentistry
  • Elmhurst, IL
National Provider Identifier
1669752515
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
021001646 Issued in IL
Legal business name
FLOR D. LOYA DDS LTD
Practice address
134 W Vallette St
Elmhurst, IL 60126-4451
Phone
(708) 344-5437
Fax
(708) 344-2757
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Flor D. Loya-Costabile, DDS
Title
President
Phone
(708) 344-5437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019022347 IL
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 021001646 IL Primary

Addresses

Primary practice location

134 W Vallette St
Elmhurst, IL 60126-4451

Mailing address

154 N 19TH Ave
Suite 200
Melrose Park, IL 60160-3718
Phone (708) 344-5437

National Provider Directory

National Provider Directory
Tax ID family
Flor D Loya DDS LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

134 W Vallette St
Elmhurst, IL 60126
Phone (708) 344-5437

154 N 19th Ave
Ste 200
Melrose Park, IL 60160

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1669752515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 N 19TH AVE",
            "address_2": "SUITE 200",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603718",
            "telephone_number": "708-344-5437",
            "fax_number": "708-344-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W VALLETTE ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601264451",
            "telephone_number": "708-344-5437",
            "fax_number": "708-344-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOR D. LOYA DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "LOYA-COSTABILE",
        "authorized_official_first_name": "FLOR",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022347",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021001646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.