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
- Last updated
- 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
| 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
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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.