Individual provider Active NPI

Deborah Huimin Loh

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bakersfield, CA
National Provider Identifier
1396145900
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63652 Issued in CA
Practice address
5353 Gosford Rd Ste 103
Bakersfield, CA 93313-4969
Phone
(626) 818-9073
NPI assigned
Sep 2, 2014
Last updated
Jan 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 63652 CA Primary

Addresses

Primary practice location

5353 Gosford Rd Ste 103
Bakersfield, CA 93313-4969

Mailing address

5353 Gosford Rd Ste 103
Bakersfield, CA 93313-4969

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
I20170817002767 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1850663337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63652CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1396145900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 GOSFORD RD STE 103",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GOSFORD RD STE 103",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134969",
            "telephone_number": "626-818-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOH",
        "first_name": "DEBORAH",
        "middle_name": "HUIMIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.