NPIMap

Organization Active NPI

Mike a. Lutz, D.D.S., P.C.

  • General Practice Dentistry
  • California, MO
National Provider Identifier
1326095159
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14895 Issued in MO
Legal business name
MIKE A. LUTZ, D.D.S., P.C.
Practice address
1021 W Buchanan St
Suite 18
California, MO 65018-1238
Phone
(573) 796-8686
Fax
(573) 796-5050
NPI assigned
May 27, 2006
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Mike A. Lutz, D.D.S.NPI 1912947037
Title
President
Phone
(573) 796-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14895 MO Primary

Addresses

Primary practice location

1021 W Buchanan St
Suite 18
California, MO 65018-1238

Mailing address

PO Box 130
California, MO 65018-0130
Phone (573) 796-8686

Other names 1

  • Lutz & Stenquist, D.D.S., P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1021 W Buchanan St
Ste 18
California, MO 65018
Phone (573) 796-8686

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1326095159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650180130",
            "telephone_number": "573-796-8686",
            "fax_number": "573-796-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W BUCHANAN ST",
            "address_2": "SUITE 18",
            "city": "CALIFORNIA",
            "state": "MO",
            "postal_code": "650181238",
            "telephone_number": "573-796-8686",
            "fax_number": "573-796-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE A. LUTZ, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-796-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutz & Stenquist, D.D.S., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in California, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.