Jason Michael Loop, D.D.S, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D07697 Issued in AZ

Practice address

10621 N 35TH Ave
Phoenix, AZ 85029-4260

Phone

(602) 978-9040

NPI assigned

Dec 18, 2008

Last updated

Jan 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alhambra Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1497510713
  NPD (past)
• El Mirage Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • El Mirage, AZ
  • NPI 1831954163
  NPD (past)
• Maryvale Dental Partners LLC

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1407148026
  NPD (past)
• Metro Dental Partners LLC

  dba Risas Dental and Braces

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1477819555
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1346486461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9882 E SAN SALVADOR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585629",
            "telephone_number": "323-217-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10621 N 35TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294260",
            "telephone_number": "602-978-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOP",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-18",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "57912",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D07697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lookout Mountain Healthcare LLC (Phoenix Mountain Post Acute)
• Lookout Mountain Healthcare LLC (Phoenix Mountain Post Acute)
• James Connor Loomis, MD
• Natalie Loomis, PHD
• Loop 101 Emergency Physicians LLC
• Selena N Loop, PTA
• Troy J Loosle, LMSW
• Rebecca A Lopatin, LCSW
• Richard Alan Lopchinsky, MD
• Swapna Lopelly, RPH

• Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.