Active NPI
Rodica Nmi Iancu-Loebel, D.D.S.
- General Practice Dentistry
- Mequon, WI
National Provider Identifier
1629252606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WI3296
- Practice address
- 10602 N Port Washington Rd
Suite 102
Mequon, WI 53092-5079 - Phone
- (262) 240-2220
- NPI assigned
- Dec 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | WI3296 | WI | Primary |
Addresses
Primary practice location
10602 N Port Washington Rd
Suite 102
Mequon, WI 53092-5079
Mailing address
10602 N Port Washington Rd
Suite 102
Mequon, WI 53092-5079
Phone (262) 240-2220
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
| License | State | Type | Specialty |
|---|---|---|---|
| WI3296 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1629252606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10602 N PORT WASHINGTON RD",
"address_2": "SUITE 102",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925079",
"telephone_number": "262-240-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10602 N PORT WASHINGTON RD",
"address_2": "SUITE 102",
"city": "MEQUON",
"state": "WI",
"postal_code": "530925079",
"telephone_number": "262-240-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANCU-LOEBEL",
"first_name": "RODICA",
"middle_name": "NMI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-26",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "WI3296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
- Edward Frank Hurtte, MD
- Timothy A Hyer-Devine, LPC
- Barbara Kay Hypes, P.T.
- Hypnos, Inc. (Koala Center for Sleep Disorders)
- Iam Integrative & Aesthetic Medicine, LTD.
- Ichthus Counseling, LLC
- Iconicare of Mequon, LLC (Wright Senior Living)
- In Focus Counseling
- In Home Behavioral Management Specialists, LLC
- Infinity Healthcare Physicians, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.