Active NPI
Maeve Patricia Luken, DMD
- Dentist
- Ocoee, FL
National Provider Identifier
1194397984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26000
- Practice address
- 11050 W Colonial Dr Ste 30
Ocoee, FL 34761-2998 - Phone
- (407) 284-3571
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- 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 | DN26000 | FL | Primary |
Addresses
Primary practice location
11050 W Colonial Dr Ste 30
Ocoee, FL 34761-2998
Mailing address
1909 Lake Baldwin LN Unit 309
Orlando, FL 32814-6929
Phone (978) 505-3243
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN26000 | FL | MD | Dentist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of Ocoee, PA | Current | Accepting new patients |
Locations
11050 W Colonial Dr
Ste 30
Ocoee, FL 34761
Phone (407) 284-3571
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Ocoee, FL
- NPI 1346895166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1194397984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 LAKE BALDWIN LN UNIT 309",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146929",
"telephone_number": "978-505-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 W COLONIAL DR STE 30",
"city": "OCOEE",
"state": "FL",
"postal_code": "347612998",
"telephone_number": "407-284-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKEN",
"first_name": "MAEVE",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.