Active NPI
Daniel J Luther, DDS, PHD
- General Practice Dentistry
- Johnstown, PA
National Provider Identifier
1558880740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS042421
- Practice address
- 1415 Eisenhower Blvd
Johnstown, PA 15904-3217 - Phone
- (814) 269-3629
- NPI assigned
- Sep 19, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS042421 | PA | Primary |
Addresses
Primary practice location
1415 Eisenhower Blvd
Johnstown, PA 15904-3217
Mailing address
1415 Eisenhower Blvd
Johnstown, PA 15904-3217
Phone (814) 269-3629
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042421 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1558880740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043217",
"telephone_number": "814-269-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 EISENHOWER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043217",
"telephone_number": "814-269-3629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-19",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS042421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.