Active NPI
Stacy Love, DDS
- Dentist
- Mansfield, OH
National Provider Identifier
1396716932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30022172
- Practice address
- 600 W 3Rd St
Mansfield, OH 44906-2633 - Phone
- (419) 526-7870
- Fax
- (419) 526-4911
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30022172 | OH | Primary |
Addresses
Primary practice location
600 W 3Rd St
Mansfield, OH 44906-2633
Mailing address
600 W 3Rd St
Mansfield, OH 44906-2633
Phone (419) 526-7870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2570016 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30022172 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1396716932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W 3RD ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449062633",
"telephone_number": "419-526-7870",
"fax_number": "419-526-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W 3RD ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449062633",
"telephone_number": "419-526-7870",
"fax_number": "419-526-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "STACY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30022172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2570016",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.