Richard Bernard Luczak, DDS, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19398 Issued in TX

Practice address

1245 S Main St Ste 100
Grapevine, TX 76051-7522

Phone

(817) 527-1590

Fax

(817) 416-8431

NPI assigned

Mar 4, 2009

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard B. Luczak, DDS, MPH, PA

  dba The Dentist

  • General Practice Dentistry
  • Corinth, TX
  • NPI 1245232594
  NPD (past) Authorized official
• The Dentist Off Main, PLLC

  • General Practice Dentistry
  • Grapevine, TX
  • NPI 1396184693
  NPD (past) Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528208568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S MAIN ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517522",
            "telephone_number": "817-527-1590",
            "fax_number": "817-416-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S MAIN ST STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517522",
            "telephone_number": "817-527-1590",
            "fax_number": "817-416-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4251 Fm 2181",
            "address_2": "Suite 264",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "TX",
            "postal_code": "762104219",
            "country_code": "US",
            "telephone_number": "940-497-3000",
            "fax_number": "940-497-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCZAK",
        "first_name": "RICHARD",
        "middle_name": "BERNARD",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "870515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Lowney, MD
• Caroline Loy
• Arthur T Lozano, LCSW
• Jeanne Renee Lozano, LCSW
• Barbara Psaras Lucente, LCSW
• Lullabies Teentalk and Adult Psychiatric Wellness Center LLC (LTA Psychiatric Wellness Center LLC)
• Phuongdung Luong, PHARMD
• Luxottica of America Inc (Oakley B070)
• Alison Lynch, PA-C
• Kevin M Harris

• General Practice Dentistry in Grapevine, TX
• Providers in Grapevine, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.