Susan Louise Luft-Marcotte, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016944 Issued in MI

Practice address

30903 West Ten Mile Rd.
Suite a
Farmington Hills, MI 48336-2609

Phone

(248) 426-0077

Fax

(248) 426-9316

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255481248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3674 SHALLOW BROOK DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021449",
            "telephone_number": "248-426-0077",
            "fax_number": "248-426-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30903 WEST TEN MILE RD.",
            "address_2": "SUITE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362609",
            "telephone_number": "248-426-0077",
            "fax_number": "248-426-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFT-MARCOTTE",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecelia Luedecking
• Rachel Lueder
• Danielle Luera
• Dominique Luera
• Karina Lueras
• Brittany Luft
• Gabriela Lugo
• Maria Lugo
• Matthew Lugo
• Selina Lugo

• General Practice Dentistry in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.