Johanne Lutter, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

006468 Issued in CT

Practice address

2279 Mount Vernon Rd
Lincoln College of New England Dental Dept Attn R Ryan
Southington, CT 06489-1007

Phone

(860) 426-0467

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johanne Reber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1861473043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 MOUNT VERNON RD",
            "address_2": "LINCOLN COLLEGE OF NEW ENGLAND DENTAL DEPT ATTN R RYAN",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891007",
            "telephone_number": "860-426-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 MOUNT VERNON RD",
            "address_2": "LINCOLN COLLEGE OF NEW ENGLAND DENTAL DEPT ATTN R RYAN",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891007",
            "telephone_number": "860-426-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTER",
        "first_name": "JOHANNE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "006468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236354",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNE",
            "last_name": "REBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Lopez, RDH
• Anthony A Luciano, M.D.
• Danielle Elizabeth Luciano, M.D.
• Garrett Ludden
• Carmelina Luongo, MD
• Kelly Anne Lynch, LCSW
• Laura Lytton, LCSW
• Douglas J Macko, DMD
• Lauren Madigan
• Kristen Madrid, LCSW

• Dental Hygienist in Southington, CT
• Providers in Southington, CT by specialty
• Dental Hygienist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.