Individual provider Active NPI

Hafsa Lodhi, DDS

  • Dentist
  • Bowling Green, KY
National Provider Identifier
1588023584
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10800 Issued in KY
Practice address
1785 Campbell LN Ste 100
Bowling Green, KY 42104-1091
Phone
(270) 842-6700
Fax
(270) 842-6770
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10164 TN
Dentist 122300000X DN24055 FL
Dentist 122300000X 10800 KY Primary

Addresses

Primary practice location

1785 Campbell LN Ste 100
Bowling Green, KY 42104-1091

Mailing address

1501 Wind Ridge Ave
Bowling Green, KY 42104-1058
Phone (248) 884-3864

Other practice location 1

5780 Laurel Green Cir
Boynton Beach, FL 33437-3356
Phone (248) 884-3864

Other practice location 2

3068 Covington Pike Ste 2
Memphis, TN 38128-5001
Phone (901) 371-8850

Other identifiers 2

IdentifierTypeStateIssuer
10800OtherKYKENTUCKY DENTAL LICENSE
DN24055OtherFLFLORIDA DENTAL LICENSE

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

LicenseStateTypeSpecialty
10164TNMDClinical Social Worker
DN24055FLMDDentist
10800KYMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1588023584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WIND RIDGE AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041058",
            "telephone_number": "248-884-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 CAMPBELL LN STE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041091",
            "telephone_number": "270-842-6700",
            "fax_number": "270-842-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5780 Laurel Green Cir",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373356",
            "country_code": "US",
            "telephone_number": "248-884-3864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3068 Covington Pike Ste 2",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381285001",
            "country_code": "US",
            "telephone_number": "901-371-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODHI",
        "first_name": "HAFSA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10164",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24055",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY DENTAL LICENSE",
            "identifier": "10800",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENSE",
            "identifier": "DN24055",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.