Organization Active NPI

Lush Dental, PLC

  • General Practice Dentistry
  • Waukee, IA
National Provider Identifier
1245794643
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUSH DENTAL, PLC
Doing business as
dba Lush Family Dental
Practice address
Lush Family Dental
2505 SE Encompass Dr.
Waukee, IA 50263-8099
Phone
(515) 303-0909
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Dr. Michael William Louscher, DDSNPI 1518975713
Title
Dentist/Owner
Phone
(515) 303-0909

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

Lush Family Dental
2505 SE Encompass Dr.
Waukee, IA 50263-8099

Mailing address

Lush Family Dental
2505 SE Encompass Dr.
Waukee, IA 50263-8099
Phone (515) 303-0909

Other names 1

  • dba Lush Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2505 SE Encompass Dr
Waukee, IA 50263
Phone (515) 201-3126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1245794643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LUSH FAMILY DENTAL",
            "address_2": "2505 SE ENCOMPASS DR.",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638099",
            "telephone_number": "515-303-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUSH FAMILY DENTAL",
            "address_2": "2505 SE ENCOMPASS DR.",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638099",
            "telephone_number": "515-303-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSH DENTAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "LOUSCHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "515-303-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Lush Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.