Organization Active NPI

David O. Loftus D.D.S., Inc.

  • General Practice Dentistry
  • Murray, UT
National Provider Identifier
1225255946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
141902-9921 Issued in UT
Legal business name
DAVID O. LOFTUS D.D.S., INC.
Practice address
865 E 4800 S
Suite 250
Murray, UT 84107-5043
Phone
(801) 262-7427
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David O. Loftus, D.D.S.NPI 1437376126
Title
President
Phone
(801) 262-7427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 141902-9921 UT Primary

Addresses

Primary practice location

865 E 4800 S
Suite 250
Murray, UT 84107-5043

Mailing address

865 E 4800 S
Suite 250
Murray, UT 84107-5043
Phone (801) 262-7427

Other identifiers 1

IdentifierTypeStateIssuer
519689040018MedicaidUT

National Provider Directory

National Provider Directory

Locations

865 E 4800 S
Ste 250
Murray, UT 84107
Phone (801) 262-7427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225255946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E 4800 S",
            "address_2": "SUITE 250",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075043",
            "telephone_number": "801-262-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 4800 S",
            "address_2": "SUITE 250",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075043",
            "telephone_number": "801-262-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID O. LOFTUS D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-262-7427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "141902-9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519689040018",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.