Active NPI
Jeremy Ray Lovelace, DMD
- Dentist
- Lexington, VA
National Provider Identifier
1992369417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416483
- Practice address
- 25 Northridge LN
Lexington, VA 24450-3399 - Phone
- (540) 464-8700
- NPI assigned
- Apr 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401416483 | VA | Primary |
Addresses
Primary practice location
25 Northridge LN
Lexington, VA 24450-3399
Mailing address
2860 Apache LN
Provo, UT 84604-4368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190917000071 | VA | Order and Referring Only - Dentist | 8325377344 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1992369417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 APACHE LN",
"city": "PROVO",
"state": "UT",
"postal_code": "846044368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 NORTHRIDGE LN",
"city": "LEXINGTON",
"state": "VA",
"postal_code": "244503399",
"telephone_number": "540-464-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "JEREMY",
"middle_name": "RAY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.