Individual provider Active NPI

Wyatt Loflin, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mechanicsville, VA
National Provider Identifier
1780159608
Registry record updated Oct 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401415924 Issued in VA
Practice address
9221 Chamberlayne Rd
Mechanicsville, VA 23116-2511
Phone
(894) 427-7420
NPI assigned
Oct 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401415924 VA Primary

Addresses

Primary practice location

9221 Chamberlayne Rd
Mechanicsville, VA 23116-2511

Mailing address

304 Tuckahoe Blvd
Richmond, VA 23226-2134

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
0401415924VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1538870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538870400000",
    "number": "1780159608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TUCKAHOE BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 CHAMBERLAYNE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162511",
            "telephone_number": "894-427-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFLIN",
        "first_name": "WYATT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-07",
        "last_updated": "2018-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401415924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; 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.