Organization Active NPI

Jack Luftman BSC DDS PC

  • General Practice Dentistry
  • Sun City West, AZ
National Provider Identifier
1518178052
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACK LUFTMAN BSC DDS PC
Practice address
13540 W Camino del Sol
Suite 6
Sun City West, AZ 85375-4434
Phone
(623) 842-0042
Fax
(623) 842-0713
NPI assigned
May 25, 2007
Last updated
Mar 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Dr. Jack Luftman, DDSNPI 1710912019
Title
President
Phone
(602) 993-6080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

13540 W Camino del Sol
Suite 6
Sun City West, AZ 85375-4434

Mailing address

13540 W Camino del Sol
Suite 6
Sun City West, AZ 85375-4434
Phone (623) 842-0042

National Provider Directory

National Provider Directory

Locations

13540 W Camino del Sol
Ste 6
Sun City West, AZ 85375
Phone (623) 556-5013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1518178052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13540 W CAMINO DEL SOL",
            "address_2": "SUITE 6",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754434",
            "telephone_number": "623-842-0042",
            "fax_number": "623-842-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13540 W CAMINO DEL SOL",
            "address_2": "SUITE 6",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754434",
            "telephone_number": "623-842-0042",
            "fax_number": "623-842-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK LUFTMAN BSC DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "LUFTMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-993-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.