Organization Active NPI

Loftus Dental Inc.

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1275692402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M504 Issued in SD
Legal business name
LOFTUS DENTAL INC.
Practice address
4004 Jackson Blvd
Rapid City, SD 57702-3248
Phone
(605) 341-4521
Fax
(605) 341-9750
NPI assigned
Dec 6, 2006
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. Ronald J Loftus, D.D.S.NPI 1265514319
Title
Dentist
Phone
(605) 341-4521

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 Dentistry 1223G0001X M504 SD Primary

Addresses

Primary practice location

4004 Jackson Blvd
Rapid City, SD 57702-3248

Mailing address

4004 Jackson Blvd
Rapid City, SD 57702-3248
Phone (605) 341-4521

Other identifiers 1

IdentifierTypeStateIssuer
7801610MedicaidSD

National Provider Directory

National Provider Directory

Locations

4004 Jackson Blvd
Rapid City, SD 57702
Phone (605) 341-4521

Practitioners & affiliated clinicians

Practitioners 3

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275692402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023248",
            "telephone_number": "605-341-4521",
            "fax_number": "605-341-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023248",
            "telephone_number": "605-341-4521",
            "fax_number": "605-341-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTUS DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-341-4521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7801610",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

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.