Organization Active NPI

Sandra Loftin MD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Denver, CO
National Provider Identifier
1760138879
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SANDRA LOFTIN MD LLC
Practice address
4155 E Jewell Ave Ste 1004
Denver, CO 80222-4514
Phone
(303) 521-9681
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Sandra Loftin, MDNPI 1902943277
Title
Sole Owner
Phone
(303) 521-9681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4155 E Jewell Ave Ste 1004
Denver, CO 80222-4514

Mailing address

4155 E Jewell Ave Ste 1004
Denver, CO 80222-4514
Phone (303) 521-9681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309000473 CO Part B Supplier - Clinic/Group Practice 5890189880 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO

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.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1760138879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE STE 1004",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224514",
            "telephone_number": "303-521-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 E JEWELL AVE STE 1004",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224514",
            "telephone_number": "303-521-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA LOFTIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "LOFTIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "303-521-9681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.