Michael Blaine Loftis, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

11710 Issued in NC

Practice address

204B W Arlington Blvd # B
Greenville, NC 27834-5762

Phone

(252) 689-2762

Fax

(252) 689-2764

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

State licenses

Practice roles

Locations

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.

• Michael B Loftis DDS PA

  • Endodontics
  • Greenville, NC
  • NPI 1962080481
  NPD

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1073780284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13623",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253600623",
            "telephone_number": "304-437-0655",
            "fax_number": "252-689-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204B W ARLINGTON BLVD # B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345762",
            "telephone_number": "252-689-2762",
            "fax_number": "252-689-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "MICHAEL",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "3651",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "11710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Locklear, P023959
• Jasmine Tenis' Locust, LMBT
• Frank Joseph Lodeserto
• Savannah Ashley Loehr, MD
• Elizabeth Ransom Witt Loftis, M.D.
• Ephram Logan
• Alexis Jade Lollis
• Robert Nelson London, CRNA
• Julia Fontana Long
• Kelli Ros Long, PHD

• Endodontics in Greenville, NC
• Providers in Greenville, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.