Individual provider Active NPI

Kelcey Loveland

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
National Provider Identifier
1750896783
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6988 Issued in NV
Practice address
9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6032
Phone
(505) 553-3607
NPI assigned
Dec 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD4824 NM
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 6988 NV Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD NM

Addresses

Primary practice location

9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6032

Mailing address

9201 Eagle Ranch Rd NW
Albuquerque, NM 87114-6032
Phone (505) 553-3607

Other practice location 1

7180 Cascade Valley Ct Ste 240
Las Vegas, NV 89128-0481
Phone (702) 735-0833

Other practice location 2

1901 Calle De Ninos
Las Cruces, NM 88005-3293
Phone (575) 526-5522

Other practice location 3

7260 S Rainbow Blvd Ste 104
Las Vegas, NV 89118-4670
Phone (702) 896-7211

Other practice location 4

3481 E Sunset Rd Ste 101
Las Vegas, NV 89120-6207
Phone (702) 322-2180

Other names 1

  • Kelcey Loveland Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20180419002170 NV Order and Referring Only - DentistPractitioner - Dentist 0345503637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDNMMDDentist
DD4824NMMDOrthodontics and Dentofacial Orthopedic Dentist
6988NVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chad N Gubler, DDS Casino Direct, LTD PastSince Nov 17, 2024 Accepting new patients
Chad Gubler Casino Direct-Ortho Orthodontics and Dentofacial Orthopedics PastSince Dec 1, 2024 Accepting new patients
Chad N Gubler, DDS Casino Direct, LTD PastSince Nov 17, 2024 Accepting new patients
Sharifian Rainsprings Dental Group Professional Corporation 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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750896783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146032",
            "telephone_number": "505-553-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 EAGLE RANCH RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146032",
            "telephone_number": "505-553-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7180 Cascade Valley Ct Ste 240",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280481",
            "country_code": "US",
            "telephone_number": "702-735-0833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Calle De Ninos",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880053293",
            "country_code": "US",
            "telephone_number": "575-526-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7260 S Rainbow Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891184670",
            "country_code": "US",
            "telephone_number": "702-896-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3481 E Sunset Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891206207",
            "country_code": "US",
            "telephone_number": "702-322-2180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELAND",
        "first_name": "KELCEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD4824",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "6988",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELCEY",
            "last_name": "LOVELAND",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.