Individual provider Active NPI

Sheila Ann Lemelle Love, D.D.S.

  • General Practice Dentistry
  • Poway, CA
National Provider Identifier
1356481527
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38076 Issued in CA
Practice address
15706 Pomerado Rd
Suite 205
Poway, CA 92064-2067
Phone
(858) 674-5954
Fax
(858) 487-4281
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38076 CA Primary

Addresses

Primary practice location

15706 Pomerado Rd
Suite 205
Poway, CA 92064-2067

Mailing address

15706 Pomerado Rd
Suite 205
Poway, CA 92064-2067
Phone (858) 674-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140107001279 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901034495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38076CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Erela Katz Rappaport DMD a Professional Corporation General Practice PastSince May 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: slemellelove310072@direct.ochin.org

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1356481527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD",
            "address_2": "SUITE 205",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "858-674-5954",
            "fax_number": "858-487-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD",
            "address_2": "SUITE 205",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "858-674-5954",
            "fax_number": "858-487-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMELLE LOVE",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.