Individual provider Active NPI

Joseph Thomas Luttmer, DDS

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1386715811
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30012909 Issued in OH
Practice address
2712 Erie Ave
Cincinnati, OH 45208-2111
Phone
(513) 321-3231
Fax
(513) 871-5509
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 30012909 OH Primary

Addresses

Primary practice location

2712 Erie Ave
Cincinnati, OH 45208-2111

Mailing address

2712 Erie Ave
Cincinnati, OH 45208-2111
Phone (513) 321-3231

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

LicenseStateTypeSpecialty
30012909OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386715811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082111",
            "telephone_number": "513-321-3231",
            "fax_number": "513-871-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 ERIE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082111",
            "telephone_number": "513-321-3231",
            "fax_number": "513-871-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTMER",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30012909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.