Anton Miles Lodmell, DDS PS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

120 E Birch St
Suite #5
Walla Walla, WA 99362-3054

Phone

(509) 525-2923

Fax

(509) 529-9730

NPI assigned

Apr 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1598938409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E BIRCH ST",
            "address_2": "SUITE #5",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623054",
            "telephone_number": "509-525-2923",
            "fax_number": "509-529-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E BIRCH ST",
            "address_2": "SUITE #5",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623054",
            "telephone_number": "509-525-2923",
            "fax_number": "509-529-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODMELL",
        "first_name": "ANTON",
        "middle_name": "MILES",
        "credential": "DDS PS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer Linden
• Christopher Lindsey
• Edward Alan Lisenbey, M.D.
• Tefna Litzenberger, RN
• Living Solutions Counseling
• Bethany L Loe
• Anita Gail Logan-Belford, RN-BC
• Curtis W Long, D.P.M.
• Joshua Steven Long, LMHC
• Shane Longmire, LMHC

• General Practice Dentistry in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.