Joseph Thachara Luke, D.D.S; M.S

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

10625 Issued in MD

Practice address

26220 Point Lookout Road
Leonardtown, MD 20650-0477

Phone

(301) 475-8100

Fax

(301) 475-3848

NPI assigned

Aug 10, 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

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1669664066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "address_2": "26220 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500477",
            "telephone_number": "301-475-8100",
            "fax_number": "301-475-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26220 POINT LOOKOUT ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500477",
            "telephone_number": "301-475-8100",
            "fax_number": "301-475-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKE",
        "first_name": "JOSEPH",
        "middle_name": "THACHARA",
        "name_prefix": "Dr.",
        "credential": "D.D.S; M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "10625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Dental Care of Maryland, Badger, P.C. (Breton Bay Dentistry)
• Cassie A Lincoln
• Dennis Logan
• Frank Allen Long, DDS
• Jonathan Thachara Luke, DDS
• Rebecca Alis Lynch, DPT
• Jennifer Farrell Lynn
• Delaney Madden, LCSW-C
• Jennifer Maguire, LCSW-C
• Amy A Magyar, MSN, NP-C

• Prosthodontics in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.