Individual provider Active NPI

Richard Joseph Lukenda, DMD

  • General Practice Dentistry
  • Mountainside, NJ
National Provider Identifier
1851565808
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01127000 Issued in NJ
Practice address
1108 Sawmill Rd
Mountainside, NJ 07092
Phone
(908) 400-1892
Fax
(908) 654-3303
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 DI11270 NJ
General Practice Dentistry 1223G0001X 22DI01127000 NJ Primary

Addresses

Primary practice location

1108 Sawmill Rd
Mountainside, NJ 07092

Mailing address

1108 Sawmill Rd
Mountainside, NJ 07092
Phone (908) 400-1892

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
DI11270NJMDDentist
22DI01127000NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1851565808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 SAWMILL RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092",
            "telephone_number": "908-400-1892",
            "fax_number": "908-925-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 SAWMILL RD",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092",
            "telephone_number": "908-400-1892",
            "fax_number": "908-654-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENDA",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI11270",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01127000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.