Individual provider Active NPI

Matthew Steven Loeppke, DDS

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1265746598
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10209 Issued in CO
Practice address
18695 Stage Run Rd
Parker, CO 80134-4911
Phone
(303) 841-8600
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 10209 CO Primary

Addresses

Primary practice location

18695 Stage Run Rd
Parker, CO 80134-4911

Mailing address

18695 Stage Run Rd
Parker, CO 80134-4911
Phone (303) 841-8600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@parkerdentist.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20160425000923 NM Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305145434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10209COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brita and Matthew Loeppke, DDS PLLC PastSince Mar 16, 2020 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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1265746598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18695 STAGE RUN RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344911",
            "telephone_number": "303-841-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18695 STAGE RUN RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344911",
            "telephone_number": "303-841-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEPPKE",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@parkerdentist.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18695 Stage Run Rd",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801344911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.