Individual provider Active NPI

Juan Carlos Loza, DDS

  • Prosthodontics
  • Great Falls, VA
National Provider Identifier
1598848780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401410736 Issued in VA
Practice address
737 Walker Rd
Suite 6
Great Falls, VA 22066-2833
Phone
(703) 759-3011
Fax
(703) 759-6030
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Prosthodontics 1223P0700X 0401410736 VA Primary

Addresses

Primary practice location

737 Walker Rd
Suite 6
Great Falls, VA 22066-2833

Mailing address

910 Broad Oaks Dr
Herndon, VA 20170-3600
Phone (571) 218-9461

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
0401410736VAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598848780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BROAD OAKS DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703600",
            "telephone_number": "571-218-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 WALKER RD",
            "address_2": "SUITE 6",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662833",
            "telephone_number": "703-759-3011",
            "fax_number": "703-759-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401410736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.