Organization Active NPI

Lookhart Dental, LLC

  • Dentist
  • Eagle River, AK
National Provider Identifier
1003280991
Registry record updated Nov 16, 2015
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jun 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1007485 Issued in AK
Legal business name
LOOKHART DENTAL, LLC
Practice address
18932 Twenty Grand Rd
Eagle River, AK 99577-8397
Phone
(208) 484-9282
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. Seth Lookhart, DMDNPI 1154734341
Title
Owner
Phone
(208) 484-9282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1007485 AK Primary

Addresses

Primary practice location

18932 Twenty Grand Rd
Eagle River, AK 99577-8397

Mailing address

18932 Twenty Grand Rd
Eagle River, AK 99577-8397
Phone (208) 484-9282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1003280991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18932 TWENTY GRAND RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778397",
            "telephone_number": "208-484-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18932 TWENTY GRAND RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778397",
            "telephone_number": "208-484-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKHART DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "LOOKHART",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-484-9282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1007485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.