DR. LOI TA DDS
NPI 1912491218
Dentist in Odessa, TX

Q: What is Loi Ta's NPI number?

The NPI number for Loi Ta is 1912491218. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Loi Ta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Loi Ta was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 20, 2018PECOS Enrolled

1508 N GRANDVIEW AVE STE 3, ODESSA, TX 79761(432) 367-8907(432) 362-0949 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2022, Oct 16, 2022, Aug 10, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Loi Ta Dds NPPES

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

DR. LOI TA DDS (NPI 1912491218) is an individual dentist in Odessa, Texas, licensed in Texas (35761) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912491218

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LOI TACredential: DDS

Location Address1508 N GRANDVIEW AVE STE 3Odessa, TX 79761-3040

Mailing Address1508 N Grandview Ave Ste 3Odessa, TX 79761-3040 · (432) 367-8907 · Fax (432) 362-0949

Phone(432) 367-8907

Fax(432) 362-0949

Sole ProprietorNo

Enumeration DateJune 20, 2018

Last NPPES UpdateOctober 24, 20225 updates tracked since enumeration

NPPES CertifiedOctober 24, 2022

✔ NPI 1912491218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in TX · 35761✔ Licensed in NM · DD5079

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 35761 (TX), DD5079 (NM)

1508 N GRANDVIEW AVE STE 3, Odessa, TX 79761

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Loi Ta Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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

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

DENTA DENTAL OF ODESSA PLLC

Dentist (General Practice)

1508 N GRANDVIEW AVE STE 3
ODESSA, TX 79761

Ector County (432) 367-8907

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 Loi Ta's NPI number?

The NPI number for Loi Ta is 1912491218. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Loi Ta located?

Loi Ta practices at 1508 N Grandview Ave Ste 3, Odessa, TX 79761. The listed phone number is (432) 367-8907.

What is Loi Ta's specialty?

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

Is Loi Ta enrolled in Medicare?

Yes. Loi Ta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Loi Ta was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.