Active NPI
Louis Deluke, D.M.D.
- Endodontics
- Boston, MA
National Provider Identifier
1033593751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 04673
- Practice address
- 1750 Washington St
Boston, MA 02118-1831 - Phone
- (518) 330-7585
- NPI assigned
- Jul 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL12637 | MA | |
| Endodontics | 1223E0200X | DEN4841 | ME | |
| Endodontics | 1223E0200X | 04673 | NH | Primary |
Addresses
Primary practice location
1750 Washington St
Boston, MA 02118-1831
Mailing address
35 Hodgdon Way, #1310
Portsmouth, NH 03801
Phone (518) 330-7585
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL12637 | MA | MD | Dentist |
| DEN4841 | ME | MD | Endodontist |
| 04673 | NH | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1033593751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HODGDON WAY, #1310",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "03801",
"telephone_number": "518-330-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 WASHINGTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181831",
"telephone_number": "518-330-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUKE",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-13",
"last_updated": "2021-09-24",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL12637",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "ME",
"license": "DEN4841",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NH",
"license": "04673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.