Individual provider Active NPI

Claire Christine Lustig, DMD

  • Endodontics
  • Effingham, IL
National Provider Identifier
1720605165
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19032719 Issued in IL
Practice address
107 S 3Rd St
Effingham, IL 62401-3632
Phone
(217) 298-3636
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 19032719 IL Primary

Addresses

Primary practice location

107 S 3Rd St
Effingham, IL 62401-3632

Mailing address

107 S 3Rd St Lowr Level
Effingham, IL 62401-3632
Phone (217) 298-3636

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
19032719ILMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Effingham Endodontist Endodontics CurrentSince Jul 13, 2025 Accepting new patients
Edwardsville Family Dentist PastSince Jul 31, 2023 Accepting new patients

Locations

107 S 3rd St
Lowr
Effingham, IL 62401
Phone (217) 663-6292

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1720605165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 3RD ST LOWR LEVEL",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013632",
            "telephone_number": "217-298-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 3RD ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013632",
            "telephone_number": "217-298-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "CLAIRE",
        "middle_name": "CHRISTINE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "19032719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.