Christian Alexander Loo, DMD, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

30.027310 Issued in OH

Practice address

24600 Detroit Rd Ste 200
Westlake, OH 44145-2542

Phone

(440) 808-9809

Fax

(440) 808-9984

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

No

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 CT

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1073166823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 DETROIT RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452542",
            "telephone_number": "440-808-9809",
            "fax_number": "440-808-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 DETROIT RD STE 200",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452542",
            "telephone_number": "440-808-9809",
            "fax_number": "440-808-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "CHRISTIAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30.027310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayden Lloyd
• Curtis Major Lockhart, M.D.
• Kelli Lockhart, RBT
• Long Island Jewish Forest Hills Hospital
• Marindia Long, RBT
• Bryan D Loos, MD
• Allissah Lopez
• Gina Lopez, RBT
• Sierra Evalise Lopez
• Stefani Lopresti, DO

• Prosthodontics in Westlake, OH
• Providers in Westlake, OH by specialty
• Prosthodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.