Individual provider Active NPI

Daniel Aaron Lucht, HIS

  • Hearing Instrument Specialist
  • Pottsville, PA
National Provider Identifier
1194356204
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
FO3209 Issued in PA
Practice address
1510 Route 61 Hwy S
Pottsville, PA 17901-8409
Phone
(570) 617-8415
Fax
(570) 622-0370
NPI assigned
Jan 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X FO3209 PA Primary

Addresses

Primary practice location

1510 Route 61 Hwy S
Pottsville, PA 17901-8409

Mailing address

1510 Route 61 Hwy S
Pottsville, PA 17901-8409
Phone (570) 617-8415

Other identifiers 1

IdentifierTypeStateIssuer
1720057581OtherPABUSINESS

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
FO3209PAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1194356204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ROUTE 61 HWY S",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018409",
            "telephone_number": "570-617-8415",
            "fax_number": "570-622-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ROUTE 61 HWY S",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018409",
            "telephone_number": "570-617-8415",
            "fax_number": "570-622-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCHT",
        "first_name": "DANIEL",
        "middle_name": "AARON",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "FO3209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS",
            "identifier": "1720057581",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.