NPIMap

Organization Active NPI

Loftus Family Dental

  • Point of Service
  • Coeur d'Alene, ID
National Provider Identifier
1740661388
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
D-4664 Issued in ID
Legal business name
LOFTUS FAMILY DENTAL
Practice address
2615 N Fruitland LN
Coeur D Alene, ID 83815-7914
Phone
(435) 340-1054
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Guadalupe Gutierrez, DMDNPI 1730556515
Title
Dentist
Phone
(435) 340-1054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X D-4664 ID Primary

Addresses

Primary practice location

2615 N Fruitland LN
Coeur D Alene, ID 83815-7914

Mailing address

2615 N Fruitland LN
Coeur D Alene, ID 83815-7914
Phone (435) 340-1054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1740661388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N FRUITLAND LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157914",
            "telephone_number": "435-340-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N FRUITLAND LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157914",
            "telephone_number": "435-340-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTUS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "435-340-1054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ID",
            "license": "D-4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.