Lucas Robert Carubia, DDS, MS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS041497 Issued in PA

Practice address

313 Mulberry St
Scranton, PA 18503-1221

Phone

(570) 346-7760

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

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.

• Carubia Pediatric Dentistry & Orthodontics PLLC

  • Dental Clinic/Center
  • Falcon, CO
  • NPI 1184572257
  NPD Authorized official
• Ross M Wezmar, DDS, PC

  • Pediatric Dentistry
  • Hazelton, PA
  • NPI 1376019356
  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891189353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 HODGEN RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809211605",
            "telephone_number": "719-640-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031221",
            "telephone_number": "570-346-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "866-600-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUBIA",
        "first_name": "LUCAS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS041497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Carroll, LPC
• Keith M Carson, PHARMD
• Ashley Lizabeth Carter, NCC
• Ijanay Samiyah Carter I
• Sophia Grace Arenal Carter, D.O.
• Alana Marie Carusotto, PT, DPT
• Cas Anesthesia Associates
• Cas Anesthesia Associates
• Rita L Case, R.PH.
• Oksana V Casella

• All providers in Scranton, PA
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.