Individual provider Active NPI

Richard John Looze, D.D.S

  • Dentist
  • Aurora, CO
National Provider Identifier
1245253756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104806 Issued in CO
Practice address
22970 E Smoky Hill Rd
Aurora, CO 80016-1382
Phone
(720) 886-0606
Fax
(720) 886-0610
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

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
Dentist 122300000X 104806 CO Primary

Addresses

Primary practice location

22970 E Smoky Hill Rd
Aurora, CO 80016-1382

Mailing address

22970 E Smoky Hill Rd
Aurora, CO 80016-1382
Phone (720) 886-0606

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 18, 2016 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104806COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southlands Dental LLC 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245253756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22970 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161382",
            "telephone_number": "720-886-0606",
            "fax_number": "720-886-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22970 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161382",
            "telephone_number": "720-886-0606",
            "fax_number": "720-886-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOZE",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "104806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.