Patrick Molloy Hamper, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019027745 Issued in IL

Practice address

203 E Santa Fe Ave
Toluca, IL 61369-0674

Phone

(815) 452-2513

Fax

(815) 452-2585

NPI assigned

Nov 20, 2008

Last updated

Feb 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fieldcrest Dental, P.C.

  • General Practice Dentistry
  • Toluca, IL
  • NPI 1275879918
  NPD (past) Authorized official

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1730334541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 674",
            "address_2": "203 E SANTA FE AVE",
            "city": "TOLUCA",
            "state": "IL",
            "postal_code": "613690674",
            "telephone_number": "815-452-2513",
            "fax_number": "815-452-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E SANTA FE AVE",
            "city": "TOLUCA",
            "state": "IL",
            "postal_code": "613690674",
            "telephone_number": "815-452-2513",
            "fax_number": "815-452-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPER",
        "first_name": "PATRICK",
        "middle_name": "MOLLOY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arba Care Center of Toluca, LLC
• Asta Care Center of Toluca LLC
• Fieldcrest Dental, P.C.
• Goldwater Care Toluca LLC (Goldwater Care Toluca)
• Goldwater Care Toluca LLC (Goldwater Care Toluca)
• Stephanie Kay Hamper, DMD
• S B Naik, DDS
• S B Naik DDS LTD
• Toluca Fire Protection and Ambulance District

• Dentist in Toluca, IL
• Providers in Toluca, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.