Active NPI
David Luppens, D.D.S
- Dentist
- Salisbury, MD
National Provider Identifier
1093865461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13824
- Practice address
- 1302 S Division St
Salisbury, MD 21804-6921 - Phone
- (410) 749-0224
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13824 | MD | Primary |
Addresses
Primary practice location
1302 S Division St
Salisbury, MD 21804-6921
Mailing address
30583 Foxchase Dr
Salisbury, MD 21804-2538
Phone (443) 801-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206003918 | MD | Order and Referring Only - Dentist | 0446540074 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13824 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093865461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30583 FOXCHASE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042538",
"telephone_number": "443-801-1858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 S DIVISION ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218046921",
"telephone_number": "410-749-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPPENS",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
- David Yun-Chen Lu, M.D.
- Macda Amare Lucas
- Dorothy Irene Ludwig, NURSING ASSISTANT
- Alexandra Wyatt Lujan Naissant, MD
- Katie Lynne Lukehart, LCPC
- Gary P Luppens, M.D.
- Kelli Renee Luttrell, D.O.
- Luxottica of America Inc. (LensCrafters #1092)
- Luxottica Retail North America Inc (Sears Optical #1657)
- Lynn F Ascher P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.