Lux Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019026712 Issued in IL

Legal business name

LUX DENTAL

Practice address

1008 E Northwest Hwy
Mount Prospect, IL 60056-3463

Phone

(847) 533-4301

NPI assigned

Feb 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lucjan Bartusiak, DDS

Title

President

Phone

(847) 553-4301

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422748800000",
    "number": "1578953386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563463",
            "telephone_number": "847-533-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-01",
        "last_updated": "2015-02-01",
        "status": "A",
        "authorized_official_last_name": "BARTUSIAK",
        "authorized_official_first_name": "LUCJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-553-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lopez
• Lumen Optical Illinois 3, LLC
• Luminate Therapy Group of Illinois, LLC
• Peter Lund, D.D.S.
• Ian Lutz, M.A.
• LV Dentistry, PC
• Ashley Machanickal
• Darek Gregory Maciasz, R.PH
• Eileen Marie Mackenzie, LCSW
• Aneta Magdalena Maczuga, PA-C

• Dental Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2015; 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.