Individual provider Active NPI

Patrick K Loftus, DMD

  • General Practice Dentistry
  • Coeur D Alene, ID
National Provider Identifier
1760049795
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-5029 Issued in ID
Practice address
2615 N Fruitland LN
Coeur D Alene, ID 83815-7914
Phone
(208) 765-3301
Fax
(208) 765-9282
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 D-5029 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 (208) 765-3301

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ww2.identillect.com/sendemail?u=YXV0aDB8NWFhZmQzMTJiMDM2NzgyOTVhOWVhY2E1 Loftus Family Dental

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D-5029IDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760049795",
    "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": "208-765-3301",
            "fax_number": "208-765-9282"
        },
        {
            "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": "208-765-3301",
            "fax_number": "208-765-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "PATRICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ww2.identillect.com/sendemail?u=YXV0aDB8NWFhZmQzMTJiMDM2NzgyOTVhOWVhY2E1",
            "affiliation": "Y",
            "endpointDescription": "URL for Identillect Encrypted Secure Email to Loftus Family Dental Coeur d Alene",
            "affiliationName": "Loftus Family Dental",
            "address_1": "2615 N Fruitland Ln",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838157914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.