Individual provider Active NPI

Beth A Loew, D.D.S.

  • General Practice Dentistry
  • Columbus, OH
National Provider Identifier
1396756664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17377 Issued in OH
Practice address
2164 Riverside Dr
Columbus, OH 43221-4053
Phone
(614) 487-0112
Fax
(614) 487-8949
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17377 OH Primary

Addresses

Primary practice location

2164 Riverside Dr
Columbus, OH 43221-4053

Mailing address

2164 Riverside Dr
Columbus, OH 43221-4053
Phone (614) 487-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150609002294 OH Order and Referring Only - DentistPractitioner - Dentist 4082935564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17377OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Beth a. Loew, D.D.S, LLC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396756664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 RIVERSIDE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214053",
            "telephone_number": "614-487-0112",
            "fax_number": "614-487-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 RIVERSIDE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432214053",
            "telephone_number": "614-487-0112",
            "fax_number": "614-487-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEW",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.