Active NPI
Sucheta Luthra, DDS, DMD
- Dentist
- Weirton, WV
National Provider Identifier
1386851558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3146
- Practice address
- 3136 West Street
Weirton, WV 26062-3813 - Phone
- (304) 797-7733
- NPI assigned
- May 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3146 | WV | Primary |
Addresses
Primary practice location
3136 West Street
Weirton, WV 26062-3813
Mailing address
3136 West St
Weirton, WV 26062-4637
Phone (304) 797-7733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0134222000 | Medicaid | WV | |
| 550629135 | Other | TEIN |
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 |
|---|---|---|---|
| 3146 | WV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1386851558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 WEST ST",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624637",
"telephone_number": "304-797-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 WEST STREET",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623813",
"telephone_number": "304-797-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHRA",
"first_name": "SUCHETA",
"credential": "DDS, DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0134222000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEIN",
"identifier": "550629135",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.