Active NPI
Cameron Scott Loeffler, DDS
- Dentist
- Visalia, CA
National Provider Identifier
1346715323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103071
- Practice address
- 2626 S Mooney Blvd Ste C
Visalia, CA 93277-6203 - Phone
- (559) 972-8145
- Fax
- (559) 635-0211
- NPI assigned
- Oct 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103071 | CA | Primary |
Addresses
Primary practice location
2626 S Mooney Blvd Ste C
Visalia, CA 93277-6203
Mailing address
1179 Vine St
Exeter, CA 93221-2382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103071 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnes Dental Corporation Inc | Dentist | Past | 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": "1538697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538697600000",
"number": "1346715323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 VINE ST",
"city": "EXETER",
"state": "CA",
"postal_code": "932212382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 S MOONEY BLVD STE C",
"city": "VISALIA",
"state": "CA",
"postal_code": "932776203",
"telephone_number": "559-972-8145",
"fax_number": "559-635-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEFFLER",
"first_name": "CAMERON",
"middle_name": "SCOTT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-05",
"last_updated": "2018-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.