Individual provider Active NPI

Loveena Rastogi, DDS

  • Pediatric Dentistry
  • Jacksonville, FL
National Provider Identifier
1932541687
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
27467 Issued in FL
Practice address
7768 Ozark Dr Ste 200
Jacksonville, FL 32256-5891
Phone
(757) 827-5665
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401414141 VA
Pediatric Dentistry 1223P0221X 27467 FL Primary

Addresses

Primary practice location

7768 Ozark Dr Ste 200
Jacksonville, FL 32256-5891

Mailing address

7768 Ozark Dr Ste 200
Jacksonville, FL 32256-5891
Phone (904) 442-6000

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

LicenseStateTypeSpecialty
0401414141VAMDGeneral Practice Dentistry
27467FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Dental Alliance of Jacksonville Ozark, PLLC General Practice CurrentSince Aug 28, 2022 Accepting new patients

Locations

7768 Ozark Dr
Ste 200
Jacksonville, FL 32256
Phone (904) 442-6000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1932541687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7768 OZARK DR STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565891",
            "telephone_number": "904-442-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7768 OZARK DR STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565891",
            "telephone_number": "757-827-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "LOVEENA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414141",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "27467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.