Active NPI
Nathan Alan Loeffler, DDS
- Dentist
- Visalia, CA
National Provider Identifier
1053783746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 65186
- Practice address
- 2626 S. Mooney Blvd.
Suite a
Visalia, CA 93277 - Phone
- (559) 733-1250
- Fax
- (559) 636-2061
- NPI assigned
- Oct 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 65186 | CA | Primary |
Addresses
Primary practice location
2626 S. Mooney Blvd.
Suite a
Visalia, CA 93277
Mailing address
2626 S. Mooney Blvd.
Suite a
Visalia, CA 93277
Phone (559) 733-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2020 through Dec 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65186 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard W. Barnes D.D.S., Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Visalia, CA
- NPI 1740348093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1053783746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 S. MOONEY BLVD.",
"address_2": "SUITE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-733-1250",
"fax_number": "559-636-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 S. MOONEY BLVD.",
"address_2": "SUITE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-733-1250",
"fax_number": "559-636-2061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEFFLER",
"first_name": "NATHAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "65186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.