Individual provider Active NPI

Robert E. Loy, D.M.D

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1952307365
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5484 Issued in KY
Practice address
3470 Blazer Pkwy
Ste 110
Lexington, KY 40509-1887
Phone
(859) 264-9493
Fax
(859) 264-8323
NPI assigned
Jun 22, 2005
Reactivated
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 5484 KY Primary

Addresses

Primary practice location

3470 Blazer Pkwy
Ste 110
Lexington, KY 40509-1887

Mailing address

3470 Blazer Pkwy
Ste 110
Lexington, KY 40509-1887
Phone (859) 264-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160308002920 KY Order and Referring Only - DentistPractitioner - Dentist 7012213655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5484KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Loy D.M.D., P.S.C. General Practice Past Accepting new patients

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1952307365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 BLAZER PKWY",
            "address_2": "STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091887",
            "telephone_number": "859-264-9493",
            "fax_number": "859-264-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 BLAZER PKWY",
            "address_2": "STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091887",
            "telephone_number": "859-264-9493",
            "fax_number": "859-264-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2011-12-05",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.