Daniel Adam Luckenbaugh, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0001330 Issued in DE

Practice address

18913 John J Williams Hwy
Rehoboth Beach, DE 19971-4404

Phone

(302) 645-6671

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maplewood Dental LLC

  • Dentist
  • Rehoboth Beach, DE
  • NPI 1578691838
  NPD (past) Authorized official
• Maplewood Dental Associates

  • Dentist
  • Rehoboth Beach, DE
  • NPI 1306974282
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1104184936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18913 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714404",
            "telephone_number": "302-645-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18913 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714404",
            "telephone_number": "302-645-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKENBAUGH",
        "first_name": "DANIEL",
        "middle_name": "ADAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Lev, MD
• Lewes Spine Center LLC
• Rita Workman Lookup, RD
• Miriam J Lopez
• Wendy Weber Lowry, PMHNP
• Meredith Ann Luckenbaugh, M.D.
• Lauren Lyon, PSYD
• Kaci Camerron Madison, MA, CAADC, CAC-AD
• Mary Elizabeth Mahoney
• Amanda Mahony Albanese, LPCMH

• General Practice Dentistry in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.

Verify at the official NPI Registry.