Active NPI
James R Luderitz, DDS MS
- General Practice Dentistry
- Billings, MT
National Provider Identifier
1295897114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2102
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000021024 | Other | MT | BLUE CROSS BLUE SHIELD MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Minnesota School of Dentistry, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2102 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Harkins DDS PC | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Tucson, AZ
- NPI 1740361559
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.