Individual provider Active NPI

David Brent Love, DDS

  • General Practice Dentistry
  • Carmel, CA
National Provider Identifier
1063643914
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42061 Issued in CA
Practice address
26365 Carmel Rancho Blvd Ste E
Carmel, CA 93923-8744
Phone
(831) 624-3549
Fax
(831) 624-3239
NPI assigned
Jul 27, 2009
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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 42061 CA Primary

Addresses

Primary practice location

26365 Carmel Rancho Blvd Ste E
Carmel, CA 93923-8744

Mailing address

26365 Carmel Rancho Blvd Ste E
Carmel, CA 93923-8744
Phone (831) 624-3549

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
42061CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jerit Davis DDS Dental Corporation General Practice PastSince Aug 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1063643914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26365 CARMEL RANCHO BLVD STE E",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238744",
            "telephone_number": "831-624-3549",
            "fax_number": "831-624-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26365 CARMEL RANCHO BLVD STE E",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238744",
            "telephone_number": "831-624-3549",
            "fax_number": "831-624-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "DAVID",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.