Individual provider Active NPI

David M Lubar, D.D.S.

  • Prosthodontics
  • Milwaukee, WI
National Provider Identifier
1710061080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
WI 2509-015 Issued in WI
Practice address
555 W Brown Deer Rd
Suite 210
Milwaukee, WI 53217-1619
Phone
(414) 352-7700
Fax
(414) 352-7801
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X WI 2509-015 WI Primary

Addresses

Primary practice location

555 W Brown Deer Rd
Suite 210
Milwaukee, WI 53217-1619

Mailing address

555 W Brown Deer Rd
Suite 210
Milwaukee, WI 53217-1619
Phone (414) 352-7700

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

LicenseStateTypeSpecialty
WI 2509-015WIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Audubon Dental, LLC PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710061080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W BROWN DEER RD",
            "address_2": "SUITE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532171619",
            "telephone_number": "414-352-7700",
            "fax_number": "414-352-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W BROWN DEER RD",
            "address_2": "SUITE 210",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532171619",
            "telephone_number": "414-352-7700",
            "fax_number": "414-352-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBAR",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "WI 2509-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.