Active NPI
David Nicholas Luther, DMD
- Pediatric Dentistry
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN23779
- Practice address
- 8804 Hawbuck St
Trinity, FL 34655-5360 - Phone
- (727) 478-3210
- NPI assigned
- Aug 27, 2019
- Last updated
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN23779 | FL | Primary |
Addresses
Primary practice location
8804 Hawbuck St
Trinity, FL 34655-5360
Mailing address
8804 Hawbuck St
Trinity, FL 34655-5360
Other practice location 1
3165 N McMullen Booth Rd
Clearwater, FL 33761-2032
Phone (727) 478-3210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Dentistry
- Education
- Nova Southeastern Univ College of Dental Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
120 Stony Point Rd
Suite 200
Santa Rosa, CA 95401-4132
5481 Wilshire Dr
Santa Rosa, CA 95404-1055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23779 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelican Pediatric Dentistry LLC | Pediatric Dentistry | Current | Accepting new patients |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Christopher E. Chuong DMD, PLC | Pediatric Dentistry | Past | Accepting new patients |
Locations
1300 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 303-3395
3569 Round Barn Cir
Santa Rosa, CA 95403
Organizations & group practices 4
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.
-
dba Growing Smiles
- Pediatric Dentistry
- Lehigh Acres, FL
- NPI 1265324644
-
dba Vista Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1578631172
-
dba Caritas Campus
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1467180430
-
- Pediatric Dentistry
- Trinity, FL
- NPI 1649807157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1710535349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8804 HAWBUCK ST",
"city": "TRINITY",
"state": "FL",
"postal_code": "346555360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8804 HAWBUCK ST",
"city": "TRINITY",
"state": "FL",
"postal_code": "346555360",
"telephone_number": "727-478-3210"
}
],
"practiceLocations": [
{
"address_1": "3165 N McMullen Booth Rd",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337612032",
"country_code": "US",
"telephone_number": "727-478-3210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUTHER",
"first_name": "DAVID",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN23779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.