Individual provider Active NPI

Scott Jeffrey Loman, DDS

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1841418738
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9219 Issued in OR
Practice address
1160 Liberty St SE
Salem, OR 97302-4143
Phone
(503) 366-3311
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32122 CA
General Practice Dentistry 1223G0001X 9219 OR Primary

Addresses

Primary practice location

1160 Liberty St SE
Salem, OR 97302-4143

Mailing address

410 Lancaster Dr NE
Suite a
Salem, OR 97301-4794
Phone (503) 581-9419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170110000488 OR Order and Referring Only - DentistPractitioner - Dentist 5698056422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32122CAMDGeneral Practice Dentistry
9219ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CRC Health Oregon, LLC Past Accepting new patients
Dennis D. Johnson DMD PC 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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1841418738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LANCASTER DR NE",
            "address_2": "SUITE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014794",
            "telephone_number": "503-581-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024143",
            "telephone_number": "503-366-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAN",
        "first_name": "SCOTT",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32122",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "9219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.