NPIMap

Organization Active NPI

Jeffrey D Loveless DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Owatonna, MN
National Provider Identifier
1861666786
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11146 Issued in MN
Legal business name
JEFFREY D LOVELESS DDS PA
Practice address
475 26TH St NE
Owatonna, MN 55060
Phone
(507) 451-5993
Fax
(507) 451-5856
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Jeffrey Donald Loveless, DDS MSNPI 1336249481
Title
President
Phone
(507) 451-5993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 11146 MN Primary

Addresses

Primary practice location

475 26TH St NE
Owatonna, MN 55060

Mailing address

475 26TH Street NE
Owatonna, MN 55060
Phone (507) 451-5993

Other identifiers 2

IdentifierTypeStateIssuer
MHCP715324400OtherMNMN DEPT HUMAN SERVICES
9179850OtherMNDORAL DENTAL

Other names 1

  • Prairie Ridge Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

475 26th St NE
Owatonna, MN 55060
Phone (507) 451-5993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1861666786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 26TH STREET NE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-5993",
            "fax_number": "507-451-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 26TH ST NE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-5993",
            "fax_number": "507-451-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D LOVELESS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-451-5993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "11146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPT HUMAN SERVICES",
            "identifier": "MHCP715324400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "9179850",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Ridge Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.