Individual provider Active NPI

Jamie Scott Luria, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Lauderdale, FL
National Provider Identifier
1972730695
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN28947 Issued in FL
Practice address
6171 N Federal Hwy
Fort Lauderdale, FL 33308-2227
Phone
(954) 641-5610
NPI assigned
Jun 20, 2009
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN28947 FL Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 019-030536 IL

Addresses

Primary practice location

6171 N Federal Hwy
Fort Lauderdale, FL 33308-2227

Mailing address

16385 Biscayne Blvd Unit 2703
Aventura, FL 33160-5482
Phone (734) 730-8664

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.luria@direct.ccprovider.org Direct Cook County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171005003738 IL Practitioner - Dentist 2567737299 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN28947FLMDOral and Maxillofacial Surgery (Dentist)
019-030536ILMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County Current Accepting new patients
Cook County CurrentSince Aug 18, 2017 Accepting new patients
Oral and Maxilloficial Head and Neck Associates LLC Oral & Maxillofacial Surgery CurrentSince Jul 1, 2019 Accepting new patients
Cook County CurrentSince Aug 18, 2017 Accepting new patients

Locations

1900 W Polk St
Ste 1200
Chicago, IL 60612

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

811 W Wellington Ave
Chicago, IL 60657
Phone (773) 871-1461

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

Interoperability endpoints

  • Direct secure messaging: jamie.luria@direct.ccprovider.org
  • Direct secure messaging: jluria276113@direct.myadvocateaurora.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1972730695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16385 BISCAYNE BLVD UNIT 2703",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331605482",
            "telephone_number": "734-730-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082227",
            "telephone_number": "954-641-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURIA",
        "first_name": "JAMIE",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN28947",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "IL",
            "license": "019-030536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.luria@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.