Michael Luzuriaga, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06799 Issued in MD

Practice address

20 S Center St
Westminster, MD 21157-5204

Phone

(410) 848-5656

Fax

(410) 848-6646

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LK Dental LLC

  • Dentist
  • Westminster, MD
  • NPI 1841655859
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1013085216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S CENTER ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575204",
            "telephone_number": "410-848-5656",
            "fax_number": "410-848-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S CENTER ST",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575204",
            "telephone_number": "410-848-5656",
            "fax_number": "410-848-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZURIAGA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "06799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan M Lusby, PA
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• Caitlin Martin Lutz, PA
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• Christine Luzuriaga, O.D.
• Lynette R Connelly, MSW, Lcswc LLC
• Parker Lyons
• Laura Lysk, PA-C
• Susana Macaoay, PAC
• Courtney Anne Mack, LMSW

• All providers in Westminster, MD
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.

Verify at the official NPI Registry.