Individual provider Active NPI

Deborah C Loth, D. D. S., M. S.

  • Endodontics
  • Arlington, TX
National Provider Identifier
1568556678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
15027 Issued in TX
Practice address
2755 Matlock Rd
Arlington, TX 76015-2529
Phone
(817) 261-8220
Fax
(817) 274-8220
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Endodontics 1223E0200X 15027 TX Primary

Addresses

Primary practice location

2755 Matlock Rd
Arlington, TX 76015-2529

Mailing address

2755 Matlock Rd
Arlington, TX 76015-2529
Phone (817) 738-0999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150105001408 TX Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 5698098382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568556678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-738-0999",
            "fax_number": "817-274-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152529",
            "telephone_number": "817-261-8220",
            "fax_number": "817-274-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTH",
        "first_name": "DEBORAH",
        "middle_name": "C",
        "credential": "D. D. S., M. S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "15027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.