John Loesch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5154 Issued in AZ

Practice address

2700 S Woodlands Village Blvd
Suite #390
Flagstaff, AZ 86001-7114

Phone

(928) 226-8882

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366652240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S WOODLANDS VILLAGE BLVD",
            "address_2": "SUITE #390",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017114",
            "telephone_number": "928-226-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S WOODLANDS VILLAGE BLVD",
            "address_2": "SUITE #390",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860017114",
            "telephone_number": "928-226-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyani Littlesunday
• Cindy Meng-Hsin Liu, M.D., M.P.H.
• Brisa Llamas
• Kim Anne Lockart, WHNP
• Marc Lococo
• Christine Long, PHARMD
• Clare Elizabeth Long, OTR/L
• Deborah Long, RN
• Lonny Elson Family Healthcare
• Evon John Looper

• General Practice Dentistry in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.