Individual provider Active NPI

James R Luderitz, DDS MS

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1295897114
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2102 Issued in MT
Practice address
1690 Rimrock Rd Ste C
Billings, MT 59102-0700
Phone
(406) 248-7172
Fax
(406) 248-7174
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2102 MT Primary

Addresses

Primary practice location

1690 Rimrock Rd Ste C
Billings, MT 59102-0700

Mailing address

1125 Capricorn PL
Billings, MT 59105-5707
Phone (406) 670-5303

Other identifiers 1

IdentifierTypeStateIssuer
0000021024OtherMTBLUE CROSS BLUE SHIELD MT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230118001604 WI Practitioner - Dentist 8628041365
I20250709000342 AZ Practitioner - Dentist 8628041365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Minnesota School of Dentistry, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Stephen J Harkins DDS PCGroup PAC ID 3971409004, 3 clinicians

Practice addresses (Care Compare)

4781 E Camp Lowell Dr
Suite 101
Tucson, AZ 85712-1256
Phone (520) 298-6909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2102MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Harkins DDS PC CurrentSince Apr 13, 2025 Accepting new patients

Locations

4781 E Camp Lowell Dr
Ste 101
Tucson, AZ 85712
Phone (520) 298-6909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1295897114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CAPRICORN PL",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591055707",
            "telephone_number": "406-670-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 RIMROCK RD STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020700",
            "telephone_number": "406-248-7172",
            "fax_number": "406-248-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDERITZ",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MT",
            "identifier": "0000021024",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.