Active NPI
Lukas Anthony Tenuta
- General Practice Dentistry
- Manitowoc, WI
National Provider Identifier
1003747353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60022015
- Practice address
- 3712 Kadow St
Manitowoc, WI 54220-5450 - Phone
- (920) 684-8033
- NPI assigned
- May 26, 2026
- Last updated
- Jun 12, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60022015 | WI | Primary |
Addresses
Primary practice location
3712 Kadow St
Manitowoc, WI 54220-5450
Mailing address
3712 Kadow St
Manitowoc, WI 54220-5450
Phone (920) 684-8033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Center, SC | Past | Accepting new patients | |
| Lake Breeze Dental, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Manitowoc, WI
- NPI 1639246127
-
- Dental Clinic/Center
- Manitowoc, WI
- NPI 1811871197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1003747353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 KADOW ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205450",
"telephone_number": "920-684-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 KADOW ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205450",
"telephone_number": "920-684-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENUTA",
"first_name": "LUKAS",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-26",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "60022015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manitowoc, WI
- Teresa Tanguay, SLP
- Michael P Tapscott, MD
- Joshua James Taylor, PHARMD
- Roxanne D Taylor
- Arielle M Tenor, NP
- Rachelle Terrell, LMT
- Jason John Terry, ATC, LAT, CSCS
- Patricia Lynn Tessmer, R.D., C.D.
- Kevin Teutschmann, ATC
- The Bay at North Ridge Health and Rehabilitation LLC (North Ridge Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.