Active NPI
Nicole Catharine Loughlin, DDS
- Dentist
- Boerne, TX
National Provider Identifier
1437227683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21352
- Practice address
- 415 S School St
Boerne, TX 78006-2519 - Phone
- (830) 249-9888
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 21352 | TX | Primary |
Addresses
Primary practice location
415 S School St
Boerne, TX 78006-2519
Mailing address
74 Outlook Point
Boerne, TX 78006
Phone (830) 336-2001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1483368 | Other | TX | UNITED CONCORDIA |
| 180426202 | Medicaid | TX |
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 |
|---|---|---|---|
| 21352 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1437227683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 OUTLOOK POINT",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-336-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S SCHOOL ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062519",
"telephone_number": "830-249-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHLIN",
"first_name": "NICOLE",
"middle_name": "CATHARINE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1483368",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180426202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.