Individual provider Active NPI

Joshua C Luekenga, AUD

  • Audiologist
  • Bountiful, UT
National Provider Identifier
1053609370
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
8029647-4101 Issued in UT
Practice address
415 Medical Dr Ste A202
Bountiful, UT 84010-4971
Phone
(801) 298-4327
Fax
(801) 298-4328
NPI assigned
Jul 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 8029647-4101 UT Primary
Audiologist-Hearing Aid Fitter 237600000X 8029647-4101 UT

Addresses

Primary practice location

415 Medical Dr Ste A202
Bountiful, UT 84010-4971

Mailing address

415 Medical Dr Ste A202
Bountiful, UT 84010-4971
Phone (801) 298-4327

Other practice location 1

2376 N 400 E Ste 202
Tooele, UT 84074-3413
Phone (801) 298-4327

Other practice location 2

1255 E 3900 S Ste 106C
Salt Lake City, UT 84124-1389
Phone (801) 268-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000695 UT Practitioner - Qualified Audiologist 8426225871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luekenga Way LLCGroup PAC ID 6800161324, 2 clinicians

Practice addresses (Care Compare)

415 Medical Dr
Suite A202
Bountiful, UT 84010-4971
Phone (801) 298-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Hearing & Balance LLC Audiologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1053609370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE A202",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104971",
            "telephone_number": "801-298-4327",
            "fax_number": "801-298-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MEDICAL DR STE A202",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104971",
            "telephone_number": "801-298-4327",
            "fax_number": "801-298-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 N 400 E Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840743413",
            "country_code": "US",
            "telephone_number": "801-298-4327",
            "fax_number": "801-298-4328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 E 3900 S Ste 106C",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241389",
            "country_code": "US",
            "telephone_number": "801-268-3277",
            "fax_number": "801-268-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUEKENGA",
        "first_name": "JOSHUA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "8029647-4101",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "8029647-4101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.