Thomas Frank Lusby III, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

06839 Issued in MD

Practice address

135 W Dares Beach Rd
Suite 209
Prince Frederick, MD 20678-3119

Phone

(410) 535-0001

Fax

(410) 535-5624

NPI assigned

Jan 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609924869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SANDY POINT RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206785770",
            "telephone_number": "410-535-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W DARES BEACH RD",
            "address_2": "SUITE 209",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783119",
            "telephone_number": "410-535-0001",
            "fax_number": "410-535-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSBY",
        "first_name": "THOMAS",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "06839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Kay Lucas, PH.D., LCPC
• Sonja Ann Luchi, RN
• Fulton Lukban, MD
• Luminis Health Medical Group, LLC
• Brenda Molinar Lummus, MOT, OTR
• Amy Mace
• John Raymond Macintosh
• Kelly Leigh Mack, PA-C
• Lynnell Tamera Mackall
• Lori E. Maddox, P.A.-C.

• Oral and Maxillofacial Surgery (Dentist) in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.