Individual provider Active NPI

Andre Justin Loumeau, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1760903280
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00204659 Issued in CO
Practice address
7159 E Hampden Ave
Denver, CO 80224-3013
Phone
(303) 337-5385
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34958 TX
Dentist 122300000X DD4735 NM
Dentist 122300000X 00204659 CO Primary

Addresses

Primary practice location

7159 E Hampden Ave
Denver, CO 80224-3013

Mailing address

7159 E Hampden Ave
Denver, CO 80224-3013
Phone (303) 337-5385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210722001888 CO Order and Referring Only - DentistPractitioner - Dentist 7719380104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34958TXMDClinical Psychologist
00204659COMDDentist
DD4735NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kye W. Lee, D.D.S.,P.C. General Practice PastSince Feb 27, 2022 Accepting new patients
Pearland Dentists, PC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1760903280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7159 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243013",
            "telephone_number": "303-337-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7159 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243013",
            "telephone_number": "303-337-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUMEAU",
        "first_name": "ANDRE",
        "middle_name": "JUSTIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34958",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4735",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.