Active NPI
Christopher Loschiavo, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Tucson, AZ
National Provider Identifier
1831624618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D010666
- Practice address
- 2370 N Wyatt Dr Ste 120
Tucson, AZ 85712-2119 - Phone
- (520) 322-0661
- NPI assigned
- Apr 28, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0442000292 | VA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | D010666 | AZ | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 0442000292 | VA |
Addresses
Primary practice location
2370 N Wyatt Dr Ste 120
Tucson, AZ 85712-2119
Mailing address
2370 N Wyatt Dr Ste 120
Tucson, AZ 85712-2119
Phone (520) 322-0661
Other practice location 1
1250 E Marshall St
Box 980566
Richmond, VA 23298-5051
Phone (804) 828-0602
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010666 | AZ | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0442000292 | VA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1831624618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 N WYATT DR STE 120",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122119",
"telephone_number": "520-322-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 N WYATT DR STE 120",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122119",
"telephone_number": "520-322-0661"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_2": "BOX 980566",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-0602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOSCHIAVO",
"first_name": "CHRISTOPHER",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0442000292",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AZ",
"license": "D010666",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "VA",
"license": "0442000292",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.