Individual provider Active NPI

Erin Loth Kauffman, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1093367120
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35394 Issued in TX
Practice address
20821 US Highway 281 N Ste 310
San Antonio, TX 78258-7597
Phone
(210) 494-4488
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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 35394 TX Primary

Addresses

Primary practice location

20821 US Highway 281 N Ste 310
San Antonio, TX 78258-7597

Mailing address

20821 US Highway 281 N Ste 310
San Antonio, TX 78258-7597
Phone (210) 494-4488

Other names 1

  • Miss Erin Marie Loth Former name

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
I20190923001967 TX Order and Referring Only - DentistPractitioner - Dentist 8123358892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35394TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Oak Modern Dentistry, PC General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1093367120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20821 US HIGHWAY 281 N STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587597",
            "telephone_number": "210-494-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20821 US HIGHWAY 281 N STE 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587597",
            "telephone_number": "210-494-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "ERIN",
        "middle_name": "LOTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "LOTH",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.