Individual provider Active NPI

Lisa Loving, DMD

  • General Practice Dentistry
  • Fountain Hills, AZ
National Provider Identifier
1558438358
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5017 Issued in AZ
Practice address
16838 E Palisades Blvd
Ste 111
Fountain Hills, AZ 85268-3786
Phone
(480) 836-7600
Fax
(480) 836-1502
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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 5017 AZ Primary

Addresses

Primary practice location

16838 E Palisades Blvd
Ste 111
Fountain Hills, AZ 85268-3786

Mailing address

16838 E Palisades Blvd
Ste 111
Fountain Hills, AZ 85268-3786
Phone (480) 836-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161026002436 AZ Order and Referring Only - DentistPractitioner - Dentist 6507144540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Family Dental LTD General Practice Current Accepting new patients
Loving Dental LLC General Practice CurrentSince Mar 2, 2017 Accepting new patients

Locations

16838 E Palisades Blvd
Ste A111
Fountain Hills, AZ 85268
Phone (480) 836-7600

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1558438358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "STE 111",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683786",
            "telephone_number": "480-836-7600",
            "fax_number": "480-836-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD",
            "address_2": "STE 111",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683786",
            "telephone_number": "480-836-7600",
            "fax_number": "480-836-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVING",
        "first_name": "LISA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.