Individual provider Active NPI

Teri Lovelace, D.D.S., M.S., P.A.

  • Periodontics
  • Abilene, TX
National Provider Identifier
1073622296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Practice address
3281 S 27TH St
Abilene, TX 79605-6221
Phone
(325) 695-1131
Fax
(325) 695-7771
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

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
Periodontics 1223P0300X TX Primary

Addresses

Primary practice location

3281 S 27TH St
Abilene, TX 79605-6221

Mailing address

3281 S 27TH St
Abilene, TX 79605-6221
Phone (325) 695-1131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160224000132 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3577868918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
75-2967214TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073622296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 S 27TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056221",
            "telephone_number": "325-695-1131",
            "fax_number": "325-695-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 S 27TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056221",
            "telephone_number": "325-695-1131",
            "fax_number": "325-695-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "TERI",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.