Active NPI
Jeffrey Brent Luckey, D.D.S.
- Endodontics
- Reno, NV
National Provider Identifier
1225119357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- S7-40
- Practice address
- 9456 Double R Blvd
Suite a
Reno, NV 89521-5977 - Phone
- (775) 851-4268
- Fax
- (775) 851-4321
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | S7-40 | NV | Primary |
Addresses
Primary practice location
9456 Double R Blvd
Suite a
Reno, NV 89521-5977
Mailing address
9456 Double R Blvd
Suite a
Reno, NV 89521-5977
Phone (775) 851-4268
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 |
|---|---|---|---|
| S7-40 | NV | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott D. Jarrett, Sierra Endodontics, LTD. | Endodontics | Past | 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 and National Provider Directory roles.
-
- Endodontics
- Reno, NV
- NPI 1245311083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225119357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9456 DOUBLE R BLVD",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895215977",
"telephone_number": "775-851-4268",
"fax_number": "775-851-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9456 DOUBLE R BLVD",
"address_2": "SUITE A",
"city": "RENO",
"state": "NV",
"postal_code": "895215977",
"telephone_number": "775-851-4268",
"fax_number": "775-851-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKEY",
"first_name": "JEFFREY",
"middle_name": "BRENT",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NV",
"license": "S7-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.