Active NPI
Jason L Luecht, D.D.S.
- Dentist
- Germantown, WI
National Provider Identifier
1659682540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6531-15
- Practice address
- W156N11377 Pilgrim Rd
Germantown, WI 53022-3422 - Phone
- (262) 251-0205
- NPI assigned
- Jun 25, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6531-15 | WI | Primary |
Addresses
Primary practice location
W156N11377 Pilgrim Rd
Germantown, WI 53022-3422
Mailing address
W156N11377 Pilgrim Rd
Germantown, WI 53022-3422
Phone (262) 251-0205
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6531-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1659682540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W156N11377 PILGRIM RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223422",
"telephone_number": "262-251-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W156N11377 PILGRIM RD",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223422",
"telephone_number": "262-251-0205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUECHT",
"first_name": "JASON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6531-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.