Individual provider Active NPI

Leah Kathleen Lovett, DMD

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1679619779
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17552 Issued in FL
Practice address
510 Airport Center Dr
Ste. 101
Jacksonville, FL 32218-7260
Phone
(904) 683-7079
Fax
(904) 329-1383
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17552 FL Primary

Addresses

Primary practice location

510 Airport Center Dr
Ste. 101
Jacksonville, FL 32218-7260

Mailing address

510 Airport Center Dr
Ste. 101
Jacksonville, FL 32218-7260
Phone (904) 683-7079

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
DN17552FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Leah K. Lovett, D.M.D., P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1679619779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 AIRPORT CENTER DR",
            "address_2": "STE. 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187260",
            "telephone_number": "904-683-7079",
            "fax_number": "904-329-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 AIRPORT CENTER DR",
            "address_2": "STE. 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187260",
            "telephone_number": "904-683-7079",
            "fax_number": "904-329-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVETT",
        "first_name": "LEAH",
        "middle_name": "KATHLEEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.