Rafy Emad Luqa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043761 Issued in PA

Practice address

658 Allegheny River Blvd
Oakmont, PA 15139-1539

Phone

(412) 828-8867

NPI assigned

May 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rafy Luqa, D.D.S., LLC

  dba Boulevard Smiles

  • General Practice Dentistry
  • Oakmont, PA
  • NPI 1376316752
  NPD Authorized official
• Terry L. Griffin, DMD, PC

  • Dental Clinic/Center
  • Oakmont, PA
  • NPI 1164926119
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1417693573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CALIFORNIA AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391308",
            "telephone_number": "804-229-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 ALLEGHENY RIVER BLVD",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391539",
            "telephone_number": "412-828-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUQA",
        "first_name": "RAFY",
        "middle_name": "EMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Zelinsky Lakatos, PT
• Laura O Langer, LCSW
• Deana Marie Lewis
• Erica Lynn Liska, PHARM.D.
• James Richard Ludwig, DMD
• Kelsey Elise Magee, PHD
• Dante Emmanuel Mancini, PHD
• Marina Amore Manuppelli, DC
• Massarelli, LLC
• McKnights Inc. Service (McKnight Medical Homecare Service)

• General Practice Dentistry in Oakmont, PA
• Providers in Oakmont, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.