Active NPI
Gracie Meiting Luo, DDS
- Pediatric Dentistry
- Springfield, PA
National Provider Identifier
1437723376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS044473
- Practice address
- 130 S State Rd Ste 300
Springfield, PA 19064-1232 - Phone
- (267) 774-4909
- NPI assigned
- May 15, 2021
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS044473 | PA | Primary |
Addresses
Primary practice location
130 S State Rd Ste 300
Springfield, PA 19064-1232
Mailing address
130 S State Rd Ste 300
Springfield, PA 19064-1232
Phone (425) 444-2459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220824002557 | PA | Order and Referring Only - Dentist | 7012390008 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS044473 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1437723376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S STATE RD STE 300",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190641232",
"telephone_number": "425-444-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S STATE RD STE 300",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190641232",
"telephone_number": "267-774-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUO",
"first_name": "GRACIE",
"middle_name": "MEITING",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-15",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS044473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, PA
- Stanley Spencer Lubeck, DPM
- Lee Renee Lucas, LCSW
- Lauren Lucci
- Deborah Lee Ludwig, P.T.
- April Lumpkin-Brennian, MS, LPC
- Luving Hands
- Luxottica of America Inc (Pearle Vision #C6227)
- Luxottica of America Inc. (LensCrafters #222)
- Luxottica of America Inc. (Target Optical #4676)
- Luxottica of America Inc. (LensCrafters At Macy's #3377)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.