Individual provider Active NPI

Andrew C Loomis, D.D.S.

  • Dentist
  • Norwood, CO
National Provider Identifier
1386963106
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10123 Issued in CO
Practice address
1350 S Aspen St.
Norwood, CO 81423-0280
Phone
(970) 327-4233
Fax
(970) 327-4228
NPI assigned
May 18, 2010
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10123 CO Primary

Addresses

Primary practice location

1350 S Aspen St.
Norwood, CO 81423-0280

Mailing address

PO Box 280
Norwood, CO 81423-0280
Phone (970) 327-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240201000559 CO Practitioner - Dentist 9739532151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10123COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Uncompahgre Combined Clinics CurrentSince Jan 29, 2024 Accepting new patients
Uncompahgre Combined Clinics PastSince Jan 28, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1386963106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "814230280",
            "telephone_number": "970-327-4233",
            "fax_number": "970-932-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ASPEN ST.",
            "city": "NORWOOD",
            "state": "CO",
            "postal_code": "814230280",
            "telephone_number": "970-327-4233",
            "fax_number": "970-327-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, CO

Sources for this page

Verify at the official NPI Registry.