Christopher S Loudermilk, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019-025034 Issued in IL

Practice address

134 Detroit Ave
Morton, IL 61550-1532

Phone

(309) 263-7449

NPI assigned

Jan 21, 2007

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 and National Provider Directory roles.

• Ronald J. Flanigan DDS, PC

  • General Practice Dentistry
  • Morton, IL
  • NPI 1881760346
  NPD (past)
• Smalltown Dental Morton LLC

  • General Practice Dentistry
  • Morton, IL
  • NPI 1720626906
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1851444855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S SAMPSON ST",
            "city": "TREMONT",
            "state": "IL",
            "postal_code": "615687536",
            "telephone_number": "309-387-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 DETROIT AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501532",
            "telephone_number": "309-263-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERMILK",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kate Lee, RD LDN
• Jennifer Lynn Litherland, RPH
• Autumn Lloyd, MA
• Erika Kay Long, D.D.S.
• Gary William Long, D.D.S.
• Daniel Andrew Lovell, DMD, MSD
• Rachel Lowery
• Ronald Luce
• Laura Lee Luginbuhl, SLP
• Heather Maciver Arnold

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.