Individual provider Active NPI

Egypt R Loftin-Smith, DDS

  • Dentist
  • Plainville, MA
National Provider Identifier
1366182123
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859508 Issued in MA
Practice address
16 Washington St
Plainville, MA 02762-2641
Phone
(508) 695-2064
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DN1859508 MA Primary

Addresses

Primary practice location

16 Washington St
Plainville, MA 02762-2641

Mailing address

49 Dover Cir
Franklin, MA 02038-1561
Phone (774) 291-2409

Other practice location 1

635 Albany Street G 744
Boston, MA 02118
Phone (617) 358-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20241022000533 MA Practitioner - Dentist 6901338417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1859508MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Dental Healthcare Dentist CurrentSince Jul 28, 2024 Accepting new patients
Trustees of Boston University CurrentSince Aug 17, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Pediatric Dental Healthcare PastSince Jul 28, 2024 Accepting new patients

Locations

100 East Newton St
#G407
Boston, MA 02118
Phone (617) 638-4350

16 Washington St
Plainville, MA 02762
Phone (508) 695-2064

Interoperability endpoints

  • Direct secure messaging: eloftinsmith173389@direct.bmc.masshiway.net

Organizations & group practices 4

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1366182123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DOVER CIR",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381561",
            "telephone_number": "774-291-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WASHINGTON ST",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622641",
            "telephone_number": "508-695-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Albany Street G 744",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-358-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFTIN-SMITH",
        "first_name": "EGYPT",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

Verify at the official NPI Registry.