Organization Active NPI

TJ Loftus Dental P.C.

  • General Practice Dentistry
  • Sturgis, SD
National Provider Identifier
1578624409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M852 Issued in SD
Legal business name
TJ LOFTUS DENTAL P.C.
Practice address
866 Lazelle St
Sturgis, SD 57785-1611
Phone
(605) 347-8880
Fax
(605) 347-2011
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd J Loftus, D.D.S.NPI 1316035223
Title
Owner
Phone
(605) 347-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X M852 SD Primary

Addresses

Primary practice location

866 Lazelle St
Sturgis, SD 57785-1611

Mailing address

866 Lazelle St
Sturgis, SD 57785-1611
Phone (605) 347-8880

Other identifiers 1

IdentifierTypeStateIssuer
7802040MedicaidSD

National Provider Directory

National Provider Directory

Locations

866 Lazelle St
Sturgis, SD 57785
Phone (605) 347-8880

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578624409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 LAZELLE ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851611",
            "telephone_number": "605-347-8880",
            "fax_number": "605-347-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 LAZELLE ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851611",
            "telephone_number": "605-347-8880",
            "fax_number": "605-347-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ LOFTUS DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOFTUS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-347-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802040",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.