Active NPI
Patrick K Loftus, DMD
- General Practice Dentistry
- Coeur D Alene, ID
National Provider Identifier
1760049795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-5029
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D-5029 | ID | MD | General 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.