Luke Mancuso, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6060 Issued in LA

Practice address

4906 Ambassador Caffery Pkwy
BLDG I
Lafayette, LA 70508-6962

Phone

(337) 456-5573

NPI assigned

Jul 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maurice Dental LLC

  • Dentist
  • Maurice, LA
  • NPI 1326818790
  NPD Authorized official
• Morgan City Dental Care

  • Dental Clinic/Center
  • Morgan City, LA
  • NPI 1689149155
  NPD Authorized official
• Luke Mancuso DDS

  • Dental Clinic/Center
  • Kaplan, LA
  • NPI 1316412885
  NPD (past) Authorized official

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1881906196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARQUIS MNR",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801152",
            "telephone_number": "225-978-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY",
            "address_2": "BLDG I",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086962",
            "telephone_number": "337-456-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K'Li D Malveaux
• Marnetta Malveaux
• Glenella Mamou
• George A. Mampilly, MD
• Fran C Mancuso, P.T.
• Mallory Mancuso
• Steven Jess Mandell, CRNA
• Mandy McCoy Counseling LLC
• Richard H Maness, DDS MSD
• Courtney Lejeune Mankin, FNP

• Dentist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.