Individual provider Active NPI

Lloyd Elliott Camp, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1992803084
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2741-015 Issued in WI
Practice address
8725 W Higgins Rd
Suite 485
Chicago, IL 60631-2716
Phone
(773) 329-4450
Fax
(773) 329-4454
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2741-015 WI Primary
Dentist 122300000X 019027709 IL

Addresses

Primary practice location

8725 W Higgins Rd
Suite 485
Chicago, IL 60631-2716

Mailing address

8725 W Higgins Rd
Suite 485
Chicago, IL 60631-2716
Phone (773) 329-4450

Other identifiers 2

IdentifierTypeStateIssuer
9214538MedicaidIL
33707900MedicaidWI

Other names 1

  • Lloyd Elliott Kempka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019027709ILMDDentist
2741-015WIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1992803084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 W HIGGINS RD",
            "address_2": "SUITE 485",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312716",
            "telephone_number": "773-329-4450",
            "fax_number": "773-329-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 W HIGGINS RD",
            "address_2": "SUITE 485",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312716",
            "telephone_number": "773-329-4450",
            "fax_number": "773-329-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "LLOYD",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2741-015",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9214538",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33707900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LLOYD",
            "last_name": "KEMPKA",
            "middle_name": "ELLIOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.