DR. GRANT A LOOSVELT D.D.S.
NPI 1821209776
Dentist in Los Angeles, CA

Q: What is Grant Loosvelt's NPI number?

The NPI number for Grant Loosvelt is 1821209776. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Grant Loosvelt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Grant Loosvelt enrolled in Medicare?

No. Grant Loosvelt has opted out of Medicare through September 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Grant Loosvelt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2007Opted out of Medicare · through Sep 24, 2027

2080 CENTURY PARK E, SUITE 1601, LOS ANGELES, CA 90067(310) 277-5678(310) 277-3294 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Grant A Loosvelt D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT A LOOSVELT D.D.S. (NPI 1821209776) is an individual dentist in Los Angeles, California, licensed in California (47389) and active in the NPI registry since May 2007. He has opted out of Medicare through September 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821209776

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GRANT A LOOSVELTCredential: D.D.S.

Location Address2080 CENTURY PARK E, SUITE 1601Los Angeles, CA 90067-2001

Mailing Address2080 Century Park E, Suite 1601Los Angeles, CA 90067-2001 · (310) 277-5678 · Fax (310) 277-3294

Phone(310) 277-5678

Fax(310) 277-3294

Sole ProprietorYes

Enumeration DateMay 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1821209776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 47389

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2080 CENTURY PARK E, Los Angeles, CA 90067

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Grant A Loosvelt D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2019 through September 24, 2027.

Opt-Out Effective DateSeptember 24, 2019

Opt-Out In Effect ThroughSeptember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL E COHEN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2080 CENTURY PARK E, SUITE 1609
LOS ANGELES, CA 90067

Los Angeles County (310) 203-8664

MRS. LYDIA NARY SAR RN

Registered Nurse (Oncology)

2080 CENTURY PARK E, STE 1005
LAS ANGELES, CA 90067

Los Angeles County (310) 229-3555

DR. JESSICA JISEON CHO M.D.

Internal Medicine

2080 CENTURY PARK E, SUITE 807
LOS ANGELES, CA 90067

Los Angeles County (310) 553-6494

JULIA GERGYE

Nurse Practitioner

2080 CENTURY PARK E
LOS ANGELES, CA 90067

Los Angeles County (310) 715-3237

DR. ROYA GOLSHANI M.D.

Internal Medicine

2080 CENTURY PARK E, SUITE 1804
LOS ANGELES, CA 90067

Los Angeles County (310) 553-5588

DR. SCOTT ZEITLIN M.D.

Urology

2080 CENTURY PARK E, SUITE 1407
LOS ANGELES, CA 90067

Los Angeles County (310) 284-8191

DR. ERIC RONALD SUE M.D.

Internal Medicine

2080 CENTURY PARK E, SUITE 1605
LOS ANGELES, CA 90067

Los Angeles County (310) 556-1800

HOWARD M. MOSS MD INC.

Clinic/Center (Medical Specialty)

2080 CENTURY PARK E, SUITE 1703
LOS ANGELES, CA 90067

Los Angeles County (310) 553-2080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Loosvelt's NPI number?

The NPI number for Grant Loosvelt is 1821209776. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Grant Loosvelt located?

Grant Loosvelt practices at 2080 Century Park E Suite 1601, Los Angeles, CA 90067. The listed phone number is (310) 277-5678.

What is Grant Loosvelt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Grant Loosvelt enrolled in Medicare?

No. Grant Loosvelt has opted out of Medicare through September 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Grant Loosvelt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.