Luke Dalzell, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

9892 Issued in NC

Practice address

5710 Six Forks Rd
Ste 101
Raleigh, NC 27609-8617

Phone

(919) 866-1989

Fax

(919) 866-0468

NPI assigned

Apr 27, 2006

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NC

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

Practice roles

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

• Luke K. Dalzell, DDS, PLLC

  • Dental Clinic/Center
  • Raleigh, NC
  • NPI 1639559016
  NPD (past) Authorized official
• Gary D. Behrend, DDS, PA

  • Dental Clinic/Center
  • Raleigh, NC
  • NPI 1548473242
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1689631376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SIX FORKS RD.",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-866-1989",
            "fax_number": "919-866-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SIX FORKS RD",
            "address_2": "STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098617",
            "telephone_number": "919-866-1989",
            "fax_number": "919-866-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "LUKE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakiea L Dalrymple, LMHC
• Alexus Cierra Dalton, NP
• Judy Newman Dalton, CRNA
• Julie Crockett Dalton, CRNA
• Sanjay Venkat Daluvoy, M.D.
• Jereme Lyndon Dame, CRNA
• Raven Simone Dames, LCMHC-A
• Courtney Bass Dancy, NP-C
• Gregary Dancy, LCMHCA
• Meghan Kathleen Dancy, M.S.CCC-SLP

• Endodontics in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.