Alfred Lutaaya

Primary specialty

DentistTaxonomy code 122300000X

License

DN1858956 Issued in MA

Practice address

243 King St Ste 112
Northampton, MA 01060-2328

Phone

(413) 584-5199

NPI assigned

Mar 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northampton Dental Specialists Group PC

  • General Practice Dentistry
  • Northampton, MA
  • NPI 1821666710
  NPD
• James E. Clayton, Jr., D.M.D., P.C.

  • General Practice Dentistry
  • Northampton, MA
  • NPI 1598870453
  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1679109573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 KING ST STE 112",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602328",
            "telephone_number": "413-584-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 KING ST STE 112",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602328",
            "telephone_number": "413-584-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTAAYA",
        "first_name": "ALFRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lowry
• Ryan Samuel Lucy
• Brianna Lunetta
• Kerry A Lusignan, MA LMHC
• Nancy A Lustgarten, LIC. AC.
• Kristen Luttinen
• Joann Carol Lutz, M.S.W.
• Megan S. Lutz, L.I.C.S.W.
• Darren M. Lynch, MD
• Jane Lynch, LICSW

• Dentist in Northampton, MA
• Providers in Northampton, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.