Individual provider Active NPI

Thomas G Loften, D.D.S.

  • General Practice Dentistry
  • Riverton, WY
National Provider Identifier
1780737478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
669 Issued in WY
Practice address
806 W Main St
Suite a
Riverton, WY 82501-3348
Phone
(307) 857-5768
Fax
(307) 857-6444
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 669 WY Primary

Addresses

Primary practice location

806 W Main St
Suite a
Riverton, WY 82501-3348

Mailing address

806 W Main St
Suite a
Riverton, WY 82501-3348
Phone (307) 857-5768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20160126000186 WY Order and Referring Only - DentistPractitioner - Dentist 1850694829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780737478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W MAIN ST",
            "address_2": "SUITE A",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013348",
            "telephone_number": "307-857-5768",
            "fax_number": "307-857-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W MAIN ST",
            "address_2": "SUITE A",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013348",
            "telephone_number": "307-857-5768",
            "fax_number": "307-857-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTEN",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.