Individual provider Active NPI

Alyssa Loparich, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, OH
National Provider Identifier
1033568670
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.026074 Issued in OH
Practice address
6555 E Broad St
Columbus, OH 43213-1509
Phone
(614) 427-0040
NPI assigned
Jun 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.026074 OH Primary

Addresses

Primary practice location

6555 E Broad St
Columbus, OH 43213-1509

Mailing address

6555 E Broad St
Columbus, OH 43213-1509
Phone (614) 427-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20160715002039 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951693696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026074OHMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1033568670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131509",
            "telephone_number": "614-427-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131509",
            "telephone_number": "614-427-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPARICH",
        "first_name": "ALYSSA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-04",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.026074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.