NPIMap

Organization Active NPI

Lovell Family Dentistry, PC

  • General Practice Dentistry
  • Portsmouth, VA
National Provider Identifier
1265777197
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411496 Issued in VA
Legal business name
LOVELL FAMILY DENTISTRY, PC
Practice address
5717 Churchland Blvd
Portsmouth, VA 23703-3308
Phone
(757) 484-1675
Fax
(757) 686-8902
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Dr. Eric Brandon Lovell, DDS
Title
Dentist
Phone
(757) 484-1675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401411496 VA Primary

Addresses

Primary practice location

5717 Churchland Blvd
Portsmouth, VA 23703-3308

Mailing address

5717 Churchland Blvd
Portsmouth, VA 23703-3308
Phone (757) 484-1675

National Provider Directory

National Provider Directory

Locations

5717 Churchland Blvd
Portsmouth, VA 23703
Phone (757) 484-1675

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1265777197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 CHURCHLAND BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033308",
            "telephone_number": "757-484-1675",
            "fax_number": "757-686-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5717 CHURCHLAND BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033308",
            "telephone_number": "757-484-1675",
            "fax_number": "757-686-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELL FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-484-1675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.