Individual provider Active NPI

Philipp Luschin, DDS

  • Dentist
  • Loveland, CO
National Provider Identifier
1699345611
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205043 Issued in CO
Practice address
1405 10TH St SW
Loveland, CO 80537-2301
Phone
(970) 962-9995
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417544 VA
Dentist 122300000X DEN.00205043 CO Primary

Addresses

Primary practice location

1405 10TH St SW
Loveland, CO 80537-2301

Mailing address

1405 10TH St SW
Loveland, CO 80537-2301
Phone (385) 202-6114

Other practice location 1

115 Oakwood Dr
Bridgewater, VA 22812-9544
Phone (540) 828-2312

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205043COMDDentist
0401417544VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental Thompson Valley Dentist CurrentSince Jun 26, 2022 Accepting new patients
Comfort Dental Thompson Valley Dentist PastSince Jun 26, 2022 Accepting new patients

Locations

1405 10th St SW
Loveland, CO 80537
Phone (970) 962-9995

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1699345611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 10TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805372301",
            "telephone_number": "385-202-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 10TH ST SW",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805372301",
            "telephone_number": "970-962-9995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Oakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgewater",
            "state": "VA",
            "postal_code": "228129544",
            "country_code": "US",
            "telephone_number": "540-828-2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSCHIN",
        "first_name": "PHILIPP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417544",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.