Individual provider Active NPI

Rakhi Luthra, DDS

  • Dentist
  • Troy, MI
National Provider Identifier
1144732157
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022464 Issued in MI
Practice address
41069 Dequindre Rd Ste 101
Troy, MI 48085-6730
Phone
(248) 266-3175
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022464 MI Primary

Addresses

Primary practice location

41069 Dequindre Rd Ste 101
Troy, MI 48085-6730

Mailing address

2258 Plumgrove LN
West Bloomfield, MI 48324-1465
Phone (734) 757-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022464MIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1144732157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 PLUMGROVE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241465",
            "telephone_number": "734-757-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41069 DEQUINDRE RD STE 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480856730",
            "telephone_number": "248-266-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHRA",
        "first_name": "RAKHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.