Individual provider Active NPI

Melissa McKey Loftin

  • Dentist
  • Baton Rouge, LA
National Provider Identifier
1437610649
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6965 Issued in LA
Practice address
6943 Jefferson Hwy
Baton Rouge, LA 70806-8110
Phone
(225) 485-3539
NPI assigned
Mar 29, 2019
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6965 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

6943 Jefferson Hwy
Baton Rouge, LA 70806-8110

Mailing address

6943 Jefferson Hwy
Baton Rouge, LA 70806-8110
Phone (225) 485-3539

Other practice location 1

1100 Florida Ave
New Orleans, LA 70119-2715
Phone (225) 485-3539

Other practice location 2

450 Turner St
Pensacola, FL 32508-5211
Phone (850) 452-5242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201022004024 LA Order and Referring Only - DentistPractitioner - Dentist 8022438449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loftin Dental LLC CurrentSince Sep 24, 2023 Accepting new patients
Branch Medical Clinic Nas Pensacola PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1437610649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6943 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068110",
            "telephone_number": "225-485-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6943 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068110",
            "telephone_number": "225-485-3539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701192715",
            "country_code": "US",
            "telephone_number": "225-485-3539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Turner St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325085211",
            "country_code": "US",
            "telephone_number": "850-452-5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFTIN",
        "first_name": "MELISSA",
        "middle_name": "MCKEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6965",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.