Organization Active NPI

Leah K. Lovett, D.M.D., P.a.

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1316362163
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17552 Issued in FL
Legal business name
LEAH K. LOVETT, D.M.D., P.A.
Practice address
510 Airport Center Dr
Ste. 101
Jacksonville, FL 32218-7260
Phone
(904) 683-7079
Fax
(904) 329-1383
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. Leah Kathleen Lovett, D.M.D.NPI 1679619779
Title
President/Owner
Phone
(904) 683-7079

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN17552 FL Primary

Addresses

Primary practice location

510 Airport Center Dr
Ste. 101
Jacksonville, FL 32218-7260

Mailing address

510 Airport Center Dr
Ste. 101
Jacksonville, FL 32218-7260
Phone (904) 683-7079

Other names 1

  • River City Dental Doing business as

National Provider Directory

National Provider Directory

Locations

510 Airport Center Dr
Ste 101
Jacksonville, FL 32218
Phone (904) 683-7079

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": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1316362163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 AIRPORT CENTER DR",
            "address_2": "STE. 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187260",
            "telephone_number": "904-683-7079",
            "fax_number": "904-329-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 AIRPORT CENTER DR",
            "address_2": "STE. 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187260",
            "telephone_number": "904-683-7079",
            "fax_number": "904-329-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH K. LOVETT, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "LOVETT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-683-7079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.