Individual provider Active NPI

Meghann Lussier, DMD

  • Dentist
  • Coconut Creek, FL
National Provider Identifier
1083160345
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN23327 Issued in FL
Practice address
5359 Lyons Rd
Coconut Creek, FL 33073-2825
Phone
(954) 570-8870
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23327 FL Primary

Addresses

Primary practice location

5359 Lyons Rd
Coconut Creek, FL 33073-2825

Mailing address

5359 Lyons Rd
Coconut Creek, FL 33073-2825
Phone (954) 570-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123000099 CT Order and Referring Only - DentistPractitioner - Dentist 6002195674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23327FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentistry Cosmetic Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1083160345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5359 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-570-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 LYONS RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732825",
            "telephone_number": "954-570-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSSIER",
        "first_name": "MEGHANN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.