Active NPI
Spot on Myo
- Dental Hygienist
- Worth, IL
National Provider Identifier
1851840276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020009281
- 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, 2016
- 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
- Ms. Joy Lantz
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.