Lisa Lynn Loftis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2905 Issued in AR

Practice address

306 S Ash St
Malvern, AR 72104-3918

Phone

(501) 332-4979

Fax

(501) 337-7097

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lisa L. Loftis, D.D.S., P.a.

  • Preferred Provider Organization
  • Malvern, AR
  • NPI 1558452409
  NPD (past) Authorized official
• Leah Efird Warford, DDS PLLC

  • General Practice Dentistry
  • Malvern, AR
  • NPI 1134796840
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710078803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S ASH ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043918",
            "telephone_number": "501-332-4979",
            "fax_number": "501-337-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S ASH ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043918",
            "telephone_number": "501-332-4979",
            "fax_number": "501-337-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "58744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "03090017900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "831360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L. Loftis, D.D.S., P.a.
• Listen Better Audiology LLC
• Kaleigh Little
• Jarrad Lock, RECOVERY ADVOCATE
• Jayden Lock
• Dillon Clifford Louton, APRN
• Cassandra Lovell
• Sarah Lowtharp, APRN
• Lanee Beth Lusinger, M.S.
• Stacia Luton

• General Practice Dentistry in Malvern, AR
• Providers in Malvern, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.