Individual provider Active NPI

Peter E Lovejoy, DDS

  • General Practice Dentistry
  • Marietta, OH
National Provider Identifier
1750544698
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.24151 Issued in OH
Practice address
319 Colegate Dr
Marietta, OH 45750-9558
Phone
(740) 374-7060
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 30.24151 OH Primary

Addresses

Primary practice location

319 Colegate Dr
Marietta, OH 45750-9558

Mailing address

319 Colegate Dr
Marietta, OH 45750-9558
Phone (740) 374-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160107001272 OH Order and Referring Only - DentistPractitioner - Dentist 8628370681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.24151OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Better Sleep Mid-Ohio Valley PLLC General Practice Current Accepting new patients
Dental Outreach, D. Austin Rehl, DDS, Peter E. Lovejoy, DDS, and Jarek Past Accepting new patients
Family Tree Dental D Austin Rehl DDS and Peter E Lovejoy DDS LLC General Practice Past Accepting new patients
North Academy Dental Partners Prof LLP Past Accepting new patients

Organizations & group practices 4

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1750544698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509558",
            "telephone_number": "740-374-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEJOY",
        "first_name": "PETER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.24151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.