Individual provider Active NPI

Ray Eugene Lunt, D.D.S

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1205055423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6612 Issued in OR
Practice address
1805 E Nob Hill St SE
Salem, OR 97302-5237
Phone
(503) 364-9515
Fax
(503) 365-9713
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6612 OR Primary

Addresses

Primary practice location

1805 E Nob Hill St SE
Salem, OR 97302-5237

Mailing address

1805 E Nob Hill St SE
Salem, OR 97302-5237
Phone (503) 364-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025002100 OR Order and Referring Only - DentistPractitioner - Dentist 4385922434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6612ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander M Zuk DMD LLC PastSince Dec 15, 2024 Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205055423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E NOB HILL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025237",
            "telephone_number": "503-364-9515",
            "fax_number": "503-365-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E NOB HILL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025237",
            "telephone_number": "503-364-9515",
            "fax_number": "503-365-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNT",
        "first_name": "RAY",
        "middle_name": "EUGENE",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "6612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.