Dental Loft Kids LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTAL LOFT KIDS LLC

Practice address

1 W Harris Ave Ste 2a
La Grange, IL 60525-2497

Phone

(708) 482-0702

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kiley Hirons, DDS

Title

Co-Owner

Phone

(708) 482-0702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1881168532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W HARRIS AVE STE 2A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252497",
            "telephone_number": "708-482-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W HARRIS AVE STE 2A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252497",
            "telephone_number": "708-482-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL LOFT KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "HIRONS",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-482-0702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Luiza Daniel, M.S. SLP-CF
• Brent Danielson, DDS
• Mary Kathleen Daniher, BCBA
• Anna Grace Davis
• Judith Ann Dean, DDS
• Marcy Dering, M.D.
• Lauren Elizabeth Desmith
• Margaret Caroline Devitt
• Sarah Rose Devivo, DMD
• Devon Acou DC, LLC

• Pediatric Dentistry in La Grange, IL
• Providers in La Grange, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.