Anne Jeanette Lucke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4135 Issued in AZ

Practice address

7302 W Grovers Ave
Glendale, AZ 85308-8125

Phone

(520) 249-6008

NPI assigned

Jun 17, 2014

Sex

Female

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

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1134533292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 W GROVERS AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088125",
            "telephone_number": "520-249-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7302 W GROVERS AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088125",
            "telephone_number": "520-249-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCKE",
        "first_name": "ANNE",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolph Lucas
• Kamryn Lucero, PT, DPT
• Matthew Lucht, AT
• Lorraine Luciano, LPC
• Tristin Renee Lucier, BS
• Kevin Ludwig, MD
• Rosemarie Ludwig, LPC
• Siu Chun Lui
• Daniel D Luisi, DDS
• Gabriella Luiso, RBT

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.