Individual provider Active NPI

David Robert Lloyd, DDS

  • General Practice Dentistry
  • Daytona Beach, FL
National Provider Identifier
1912342767
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013454 Issued in FL
Practice address
139 Executive Cir
Suite 101
Daytona Beach, FL 32114-1198
Phone
(386) 253-3629
Fax
(386) 253-3620
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0013454 FL Primary

Addresses

Primary practice location

139 Executive Cir
Suite 101
Daytona Beach, FL 32114-1198

Mailing address

139 Executive Cir Ste 101
Daytona Beach, FL 32114-7102
Phone (386) 253-3629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001692 FL Order and Referring Only - General PracticePractitioner - General Practice 2163711615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0013454FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Dental Inc CurrentSince Aug 4, 2024 Accepting new patients
Serene Sleep Solutions LLC CurrentSince Oct 27, 2025 Accepting new patients

Locations

139 Executive Cir
Ste 101
Daytona Beach, FL 32114
Phone (386) 253-0115

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1912342767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 EXECUTIVE CIR STE 101",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321147102",
            "telephone_number": "386-253-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 EXECUTIVE CIR",
            "address_2": "SUITE 101",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141198",
            "telephone_number": "386-253-3629",
            "fax_number": "386-253-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.