Matthew Loeb, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D.6854-C1 Issued in AL

Practice address

651 Helen Keller Blvd
Tuscaloosa, AL 35404-2983

Phone

(205) 556-2323

NPI assigned

Jul 7, 2016

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 2, 2021 through May 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Univiversity Oral and Facial Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tuscaloosa, AL
  • NPI 1578634515
  NPD (past)

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1114379609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-556-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-556-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "D.6854-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Michelle Littleton, LPC
• Katie Ryan Liveoak, PHARMD
• Daniel Lloyd, D.O.
• Nicholle Lloyd, P.T.
• Linda Lochman
• Virginia Claire Loeb, DMD
• Lee Headley Loftin, MD
• Scott Joseph Lombardo, MD
• Cassaundra A Long, LCSW
• John Phillip Long, DMD

• Oral and Maxillofacial Surgery (Dentist) in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.