Individual provider Active NPI

Paul Loper, D.D.S.

  • General Practice Dentistry
  • Reynoldsburg, OH
National Provider Identifier
1912906454
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16447 Issued in OH
Practice address
6321 E Livingston Ave
Suite a
Reynoldsburg, OH 43068-4241
Phone
(614) 864-7731
Fax
(614) 864-8045
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 16447 OH Primary

Addresses

Primary practice location

6321 E Livingston Ave
Suite a
Reynoldsburg, OH 43068-4241

Mailing address

6321 E Livingston Ave
Suite a
Reynoldsburg, OH 43068-4241
Phone (614) 864-7731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150618002082 OH Order and Referring Only - DentistPractitioner - Dentist 2769793660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16447OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912906454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 E LIVINGSTON AVE",
            "address_2": "SUITE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684241",
            "telephone_number": "614-864-7731",
            "fax_number": "614-864-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 E LIVINGSTON AVE",
            "address_2": "SUITE A",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684241",
            "telephone_number": "614-864-7731",
            "fax_number": "614-864-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.