Lois Johnson Lunderman, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN13619 Issued in FL

Practice address

395 Valparaiso Pkwy
Valparaiso, FL 32580-1203

Phone

(850) 678-2012

NPI assigned

Jul 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 4, 2016 through May 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lois J. Lunderman, DDS, PA

  • Dentist
  • Valparaiso, FL
  • NPI 1235149964
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265454862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 VALPARAISO PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801203",
            "telephone_number": "850-678-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 VALPARAISO PKWY",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801203",
            "telephone_number": "850-678-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDERMAN",
        "first_name": "LOIS",
        "middle_name": "JOHNSON",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex J. Jeffrey, D.D.S.
• McKinzie Jeffrey, D.D.S.
• Deborah Marie Jerrells, DMD
• Lois J. Lunderman, DDS, PA
• Lynsie Rae Lopiccolo
• Kathryn Luisa Mailoto, APRN
• Morakort Maxwell-Roebuck
• Ashley Throneberry Mills
• Shawn A. Mitchell, D.M.D.
• Issac B Myers, LMT

• Dentist in Valparaiso, FL
• Providers in Valparaiso, FL by specialty
• Dentist in Florida

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.