Shamus Loftus, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49988 Issued in NY

Practice address

3280 Tamiami TRL Ste 56
Port Charlotte, FL 33952-8053

Phone

(941) 627-6300

NPI assigned

Apr 13, 2007

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 FL

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

Networks

• FL HMO D-SNP
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• FL HMO C-SNP

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4693/brand/6/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pelican Bay Family Dental

  • General Practice Dentistry
  • Naples, FL
  • NPI 1669676078
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1003030420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082710",
            "telephone_number": "239-597-4902",
            "fax_number": "239-513-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 TAMIAMI TRL STE 56",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528053",
            "telephone_number": "941-627-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "SHAMUS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "49988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wen Liou, M.D.
• Little Debbie's Second Chance Homes Florida
• Michelle Lisa Lobel
• Christopher F. Lobo, MD
• Anne S Lockey, M.D.
• Sara Logan, ARNP
• Lomba MD PA
• Lomba MD, PA
• Fernando Luis Lomba, MD
• Ada Keung Lombardo, OTR

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.