Active NPI
Michael Ernest Love, DMD
- Dentist
- Enterprise, AL
National Provider Identifier
1881199974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D.007260-C
- Practice address
- 1205 Boll Weevil Cir
Enterprise, AL 36330-1377 - Phone
- (334) 806-6111
- NPI assigned
- Mar 29, 2018
- Last updated
- Feb 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D.007260-C | AL | Primary |
| Dentist | 122300000X | 2018018496 | MO | |
| Dentist | 122300000X | DN28683 | FL |
Addresses
Primary practice location
1205 Boll Weevil Cir
Enterprise, AL 36330-1377
Mailing address
800 George Wallace Dr
Enterprise, AL 36330-3201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TBA | Other | TBA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D.007260-C | AL | MD | Dentist |
| DN28683 | FL | MD | Dentist |
| 2018018496 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Dental | Current | Accepting new patients |
Locations
1205 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-9564
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Enterprise, AL
- NPI 1760244750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1881199974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GEORGE WALLACE DR",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363303201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 BOLL WEEVIL CIR",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363301377",
"telephone_number": "334-806-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "MICHAEL",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D.007260-C",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2018018496",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28683",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TBA",
"identifier": "TBA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.