Active NPI
Thomas E Love, D.D.S., a.P.C.
- Oral and Maxillofacial Surgery (Dentist)
- Oakland, CA
National Provider Identifier
1679620298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D19512
- Legal business name
- THOMAS E LOVE, D.D.S., A.P.C.
- Practice address
- 401 29TH St
Suite 211
Oakland, CA 94609-3519 - Phone
- (510) 452-0110
- NPI assigned
- Jan 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas E Love, D.D.S.
- Title
- Owner
- Phone
- (510) 452-0110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D19512 | CA | Primary |
Addresses
Primary practice location
401 29TH St
Suite 211
Oakland, CA 94609-3519
Mailing address
401 29TH St
Suite 211
Oakland, CA 94609-3519
Phone (510) 452-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B19512-01 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
401 29th St
Ste 211
Oakland, CA 94609
Phone (510) 452-0110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1679620298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 29TH ST",
"address_2": "SUITE 211",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093519",
"telephone_number": "510-452-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 29TH ST",
"address_2": "SUITE 211",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093519",
"telephone_number": "510-452-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS E LOVE, D.D.S., A.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-452-0110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "D19512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B19512-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.