NPIMap

Organization Active NPI

Richard B. Luczak, DDS, MPH, PA

Doing business as The Dentist

  • General Practice Dentistry
  • Corinth, TX
National Provider Identifier
1245232594
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19398 Issued in TX
Legal business name
RICHARD B. LUCZAK, DDS, MPH, PA
Doing business as
The Dentist
Practice address
4251 FM 2181
Ste 264
Corinth, TX 76210-4220
Phone
(940) 497-3000
Fax
(940) 497-3010
NPI assigned
Jun 1, 2005
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Richard Bernard Luczak, DDS, MPHNPI 1528208568
Title
President
Phone
(940) 497-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19398 TX Primary

Addresses

Primary practice location

4251 FM 2181
Ste 264
Corinth, TX 76210-4220

Mailing address

4251 FM 2181
Ste 264
Corinth, TX 76210-4220
Phone (940) 497-3000

Other identifiers 1

IdentifierTypeStateIssuer
870515OtherUNITED CONCORDIA

Other names 1

  • The Dentist Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1245232594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 FM 2181",
            "address_2": "STE 264",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762104220",
            "telephone_number": "940-497-3000",
            "fax_number": "940-497-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 FM 2181",
            "address_2": "STE 264",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762104220",
            "telephone_number": "940-497-3000",
            "fax_number": "940-497-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD B. LUCZAK, DDS, MPH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "LUCZAK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-497-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "870515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.