Active NPI
Craig Lustman
- Pediatric Dentistry
- Boca Raton, FL
National Provider Identifier
1386061349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D21099
- Practice address
- 8903 Glades Rd Ste D4
Boca Raton, FL 33434-4023 - Phone
- (561) 483-9334
- NPI assigned
- Mar 27, 2014
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D21099 | FL | Primary |
| Pediatric Dentistry | 1223P0221X | D039540 | PA |
Addresses
Primary practice location
8903 Glades Rd Ste D4
Boca Raton, FL 33434-4023
Mailing address
8903 Glades Rd Ste D4
Boca Raton, FL 33434-4023
Phone (561) 483-9334
Other practice location 1
2500 E Hallandale Beach Blvd Ste M
Hallandale Beach, FL 33009-4833
Phone (954) 951-3001
Other practice location 2
5431 N University Dr Ste 102
Coral Springs, FL 33067-4639
Phone (954) 255-2787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D21099 | FL | MD | Pediatric Dentist |
| D039540 | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Lustman DDS PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Boca Raton, FL
- NPI 1295221364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1386061349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8903 GLADES RD STE D4",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344023",
"telephone_number": "561-483-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8903 GLADES RD STE D4",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334344023",
"telephone_number": "561-483-9334"
}
],
"practiceLocations": [
{
"address_1": "2500 E Hallandale Beach Blvd Ste M",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "330094833",
"country_code": "US",
"telephone_number": "954-951-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5431 N University Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330674639",
"country_code": "US",
"telephone_number": "954-255-2787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUSTMAN",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-27",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "D21099",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "D039540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.