Paul Gerard Luepke, D.D.S., M.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

3001 6TH St
Great Lakes, IL 60088-2833

Phone

(847) 688-3699

Fax

(847) 688-6259

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 30, 2016 through Mar 30, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013988591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 GREENWOOD AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351355",
            "telephone_number": "847-688-3699",
            "fax_number": "847-688-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 6TH ST",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882833",
            "telephone_number": "847-688-3699",
            "fax_number": "847-688-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEPKE",
        "first_name": "PAUL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Lee, M.D.
• Karen Leone, M.D.
• Jon Scott Little, IDC
• Ruth Ann Little, LPN
• Kris Eileen Loyd, M.S. CCC-A
• Rodolfo Pineda Manansala, INDEPENDENT DUTY HM
• Herchel Mangune, PTA
• Ruby Martinez
• Elaine Keefer May, PSY.D.
• Latosha Monique Mayes, PHARM.D.

• Dentist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.