Laval Alonzo Lucas-Perry, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902018904 Issued in MI

Practice address

4727 Saint Antoine St Ste 408
Detroit, MI 48201-1461

Phone

(313) 833-7309

NPI assigned

Oct 3, 2019

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23753/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1053952796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 WARWICK CIRCLE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398337",
            "telephone_number": "810-691-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SAINT ANTOINE ST STE 408",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011461",
            "telephone_number": "313-833-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS-PERRY",
        "first_name": "LAVAL",
        "middle_name": "ALONZO",
        "name_prefix": "Mr.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902018904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Lucarelli, LCSW, LMSW
• Vito Lucarelli, MD
• Lucas Family Home Care LLC
• Lucas Perry Dental Group
• Lucas-Perry Dental Group, P.L.L.C.
• Victoria Monique Lucas-Perry, DDS
• Charles Edward Lucas, MD
• Cheryl Lucas, LMSW
• Ebony Sukarie-Leatrice Lucas, LLMSW
• Elizabeth Anne Lucas, RN

• Dental Hygienist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.