Kenneth M Lutsch,DDS,LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KENNETH M LUTSCH,DDS,LTD

Practice address

619 Harlem Rd
Machesney Park, IL 61115-2429

Phone

(815) 877-8800

Fax

(815) 877-8805

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth M Lutsch, D.D.S.NPI 1851415376

Title

Owner

Phone

(815) 877-8800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Michael Lutsch

  • General Practice Dentistry
  • Machesney Park, IL
  • NPI 1851415376
  NPD (past) Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578633178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152429",
            "telephone_number": "815-877-8800",
            "fax_number": "815-877-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152429",
            "telephone_number": "815-877-8800",
            "fax_number": "815-877-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M LUTSCH,DDS,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTSCH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-877-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Javurek Lee, DT/DTH
• Jandi Jo Jenkins, LPN
• Steven Lee Johnson, RPH
• Jennifer Powers Jones, PHARMD
• Joseph N Mangiardi PC
• Khulan Khuchitbaatar, OD
• Perri Killam, PHARMD
• Rachel Kinison, LCPC, LMHC
• Brant Montgomery Kitto, RPH
• Sheila C Kitzman, RPH

• General Practice Dentistry in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.