Organization Active NPI

Jean D. Lukaska, DDS, PLLC

Doing business as Market Street Denta

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1275744047
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5733 Issued in AZ
Legal business name
JEAN D. LUKASKA, DDS, PLLC
Doing business as
Market Street Denta
Practice address
20875 N Pima Rd Ste 105
Scottsdale, AZ 85255-9194
Phone
(480) 563-0069
Fax
(480) 563-7631
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Jean D Lukaska, DDS
Title
Dentist
Phone
(480) 563-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5733 AZ Primary

Addresses

Primary practice location

20875 N Pima Rd Ste 105
Scottsdale, AZ 85255-9194

Mailing address

20875 N Pima Rd Ste 105
Scottsdale, AZ 85255-9194
Phone (480) 563-0069

Other names 1

  • Market Street Denta Doing business as

National Provider Directory

National Provider Directory

Locations

20875 N Pima Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 563-0069

Practitioners & affiliated clinicians

Practitioners 2

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1275744047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20875 N PIMA RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559194",
            "telephone_number": "480-563-0069",
            "fax_number": "480-563-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20875 N PIMA RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852559194",
            "telephone_number": "480-563-0069",
            "fax_number": "480-563-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN D. LUKASKA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "LUKASKA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "480-563-0069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Street Denta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.