Individual provider Active NPI

Lucas S Reed, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fort Wayne, IN
National Provider Identifier
1033366711
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
12011774A Issued in IN
Practice address
7845 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone
(260) 423-2340
Fax
(260) 969-4109
NPI assigned
Aug 25, 2008
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12011774A IN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 12011774A IN Primary

Addresses

Primary practice location

7845 Carnegie Blvd
Fort Wayne, IN 46804-5792

Mailing address

7845 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone (260) 423-2340

Other practice location 1

4606 E State Blvd Ste D
Fort Wayne, IN 46815-6963
Phone (260) 423-2340

Other practice location 2

10008 DuPont Circle Ct
Fort Wayne, IN 46825-1604
Phone (260) 423-2340

Other practice location 3

2122 E Center St
Warsaw, IN 46580-3704
Phone (260) 423-2340

Other practice location 4

1121 W Michigan St
Indianapolis, IN 46202-5211
Phone (317) 274-7433

Other practice location 5

550 University Blvd Ste 3195
Indianapolis, IN 46202-5149
Phone (317) 274-7433

Other identifiers 1

IdentifierTypeStateIssuer
201075180MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000008 IN Practitioner - Maxillofacial SurgeryPractitioner - Oral SurgeryPractitioner - Surgical Oncology 7214192624 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery, Surgical Oncology
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Oral and Maxillofacial Surgery Associates PCGroup PAC ID 1557430766, 6 clinicians

Practice addresses (Care Compare)

7845 Carnegie Blvd
Fort Wayne, IN 46804-5792
Phone (260) 423-2340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgery Associates PC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10008 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (260) 423-2340

4606 E State Blvd
Ste D
Fort Wayne, IN 46815
Phone (260) 423-2340

7845 Carnegie Blvd
Fort Wayne, IN 46804
Phone (260) 423-2340

2122 E Center St
Warsaw, IN 46580
Phone (260) 423-2340

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1033366711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 CARNEGIE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045792",
            "telephone_number": "260-423-2340",
            "fax_number": "260-969-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 CARNEGIE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468045792",
            "telephone_number": "260-423-2340",
            "fax_number": "260-969-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 E State Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468156963",
            "country_code": "US",
            "telephone_number": "260-423-2340",
            "fax_number": "260-969-4109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10008 DuPont Circle Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468251604",
            "country_code": "US",
            "telephone_number": "260-423-2340",
            "fax_number": "260-969-4109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2122 E Center St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803704",
            "country_code": "US",
            "telephone_number": "260-423-2340",
            "fax_number": "260-969-4109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025211",
            "country_code": "US",
            "telephone_number": "317-274-7433",
            "fax_number": "317-274-2603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 University Blvd Ste 3195",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-274-7433",
            "fax_number": "317-274-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "LUCAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011774A",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IN",
            "license": "12011774A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201075180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.