Organization Active NPI

Spot on Myo

  • Dental Hygienist
  • Worth, IL
National Provider Identifier
1851840276
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
020009281 Issued in IL
Legal business name
SPOT ON MYO
Practice address
11555 S Harlem Ave
Worth, IL 60482-2300
Phone
(708) 316-1610
NPI assigned
Sep 27, 2016
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Ms. Joy LantzNPI 1588289805
Title
President/Owner
Phone
(708) 316-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 020009281 IL Primary

Addresses

Primary practice location

11555 S Harlem Ave
Worth, IL 60482-2300

Mailing address

6645 Victoria Dr
Oak Forest, IL 60452-2625
Phone (708) 316-1610

National Provider Directory

National Provider Directory

Locations

11555 S Harlem Ave
Worth, IL 60482
Phone (708) 316-1610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1851840276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 VICTORIA DR",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522625",
            "telephone_number": "708-316-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822300",
            "telephone_number": "708-316-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT ON MYO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "LANTZ",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-316-1610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.