Active NPI
Flor D. Loya DDS LTD
- Pediatric Dentistry
- Elmhurst, IL
National Provider Identifier
1669752515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 021001646
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019022347 | IL | |
| Pediatric Dentistry | 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 LTD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Melrose Park, IL
- NPI 1346441219
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.