Michael a. Luckett, DMD & Associates (Western

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL A. LUCKETT, DMD & ASSOCIATES (WESTERN

Doing business as

DentalWorks

Practice address

6153 South Western Avenue
Chicago, IL 60636

Phone

(773) 863-0129

Fax

(216) 584-1064

NPI assigned

Jan 26, 2006

Last updated

Dec 28, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Dr. Michael Luckett, DMD

Title

Dentist/Owner

Phone

(773) 863-0129

Specialties & licenses 7

Addresses

Other names 1

• DentalWorks Doing business as

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1831169218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PARKWAY #1070",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-755-0880",
            "fax_number": "972-755-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6153 SOUTH WESTERN AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60636",
            "telephone_number": "773-863-0129",
            "fax_number": "216-584-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. LUCKETT, DMD & ASSOCIATES (WESTERN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "LUCKETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "773-863-0129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Jean Micci, PA-C
• Alan Micco, MD
• Jonathan L Miceli
• Amanda Noel Mich, MS
• Michael a. Acierno, DDS PC (Acierno Family Dentistry)
• Michael a. Wood, D.P.M., P.C.
• Michael C Griffin LTD (Northalsted Dental Center)
• Michael C Molay DPM
• Michael C. Martinez LCPC
• Michael E Nissan MD PLLC (Michael E Nissan MD)

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.