Organization Active NPI

Loving Dental LLC

  • General Practice Dentistry
  • Fountain Hills, AZ
National Provider Identifier
1407520133
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOVING DENTAL LLC
Practice address
16838 E Palisades Blvd Ste 111
Fountain Hills, AZ 85268-3788
Phone
(480) 836-7600
NPI assigned
Aug 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16838 E Palisades Blvd Ste 111
Fountain Hills, AZ 85268-3788

Mailing address

16838 E Palisades Blvd Ste 111
Fountain Hills, AZ 85268-3788

Other names 1

  • Loving Family Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310000701 AZ DME Supplier - Oral Surgery - DentistDME Supplier - Sleep Laboratory/Medicine 3678056561 Practice locations: Fountain Hills, AZ

National Provider Directory

National Provider Directory

Locations

16838 E Palisades Blvd
Ste 111
Fountain Hills, AZ 85268
Phone (480) 836-7600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1407520133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD STE 111",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD STE 111",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683788",
            "telephone_number": "480-836-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF  CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loving Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.