Active NPI
John E Lofthus, DDS
- Periodontics
- San Diego, CA
National Provider Identifier
1740425016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 33621
- Practice address
- 8899 University Center LN
Suite 100
San Diego, CA 92122-1013 - Phone
- (858) 459-4364
- Fax
- (858) 459-0633
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 33621 | CA | Primary |
Addresses
Primary practice location
8899 University Center LN
Suite 100
San Diego, CA 92122-1013
Mailing address
8899 University Center LN
Suite 100
San Diego, CA 92122-1013
Phone (858) 459-4364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150709002999 | CA | Order and Referring Only - Oral Surgery | 4880906437 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1740425016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8899 UNIVERSITY CENTER LN",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221013",
"telephone_number": "858-459-4364",
"fax_number": "858-459-0633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8899 UNIVERSITY CENTER LN",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221013",
"telephone_number": "858-459-4364",
"fax_number": "858-459-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFTHUS",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "33621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.