Individual provider Active NPI

David A Loomar, DDS

  • General Practice Dentistry
  • Trenton, NJ
National Provider Identifier
1033130307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7288 Issued in NJ
Practice address
1901 N Olden Avenue Ext
11A
Trenton, NJ 08618-2111
Phone
(609) 771-9202
Fax
(609) 771-9201
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7288 NJ Primary

Addresses

Primary practice location

1901 N Olden Avenue Ext
11A
Trenton, NJ 08618-2111

Mailing address

1901 N Olden Avenue Ext
11A
Trenton, NJ 08618-2111
Phone (609) 771-9202

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
7288NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033130307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "address_2": "11A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-771-9202",
            "fax_number": "609-771-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N OLDEN AVENUE EXT",
            "address_2": "11A",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086182111",
            "telephone_number": "609-771-9202",
            "fax_number": "609-771-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMAR",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "7288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.