Organization Active NPI

Michael B Loftis DDS PA

  • Endodontics
  • Greenville, NC
National Provider Identifier
1962080481
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MICHAEL B LOFTIS DDS PA
Practice address
204B W Arlington Blvd # B
Greenville, NC 27834-5762
Phone
(252) 689-2762
Fax
(252) 689-2764
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ms. G Frances Loftis
Title
Business Manager
Phone
(304) 437-0655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

204B W Arlington Blvd # B
Greenville, NC 27834-5762

Mailing address

PO Box 13623
Charleston, WV 25360-0623
Phone (304) 437-0655

Other names 1

  • GREENVILLE ROOT CANAL SPECIALISTS Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TDOWORKSTATIONS Direct

National Provider Directory

National Provider Directory

Locations

204 W Arlington Blvd
#B
Greenville, NC 27834
Phone (252) 689-2762

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1962080481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13623",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253600623",
            "telephone_number": "304-437-0655",
            "fax_number": "252-689-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204B W ARLINGTON BLVD # B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345762",
            "telephone_number": "252-689-2762",
            "fax_number": "252-689-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B LOFTIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LOFTIS",
        "authorized_official_first_name": "G FRANCES",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "304-437-0655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TDOWORKSTATIONS",
            "affiliation": "N",
            "endpointDescription": "TDO SERVER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "STMP",
            "address_1": "204B W Arlington Blvd # B",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278345762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "GREENVILLE ROOT CANAL SPECIALISTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.