Jonathan George Lovell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5623 Issued in AZ

Practice address

5331 S Superstition Mountain Dr
Suite 108
Gold Canyon, AZ 85218-1921

Phone

(480) 671-7777

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891718573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 E. OLIVE AVE.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-633-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE 108",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852181921",
            "telephone_number": "480-671-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9963 E Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852098331",
            "country_code": "US",
            "telephone_number": "480-615-8585",
            "fax_number": "480-615-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "JONATHAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Lynn Lien
• Linda Carol Newell MD
• Sidnee Paige Lofgreen
• Corianne Kathleen Lopez
• James Aaron Loui
• Mary C. Marcantel, N.D.
• Lisa M Marshall, HAD
• April McCollough, LAC
• Bonnie M. McIrvin, LCSW
• McMahon, DDS, Inc

• General Practice Dentistry in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.