David Owen Ludkin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901021102 Issued in MI

Practice address

2811 E Court St
Suite I
Flint, MI 48506-4054

Phone

(810) 232-2920

Fax

(810) 232-1054

NPI assigned

Sep 12, 2013

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

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fireberg Family Dental LLC

  • Dentist
  • Flint, MI
  • NPI 1437320520
  NPD (past)

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1992130744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 KENSINGTON DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046215",
            "telephone_number": "734-276-0525",
            "fax_number": "810-232-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E COURT ST",
            "address_2": "SUITE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485064054",
            "telephone_number": "810-232-2920",
            "fax_number": "810-232-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDKIN",
        "first_name": "DAVID",
        "middle_name": "OWEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lucas
• Stacey Luck
• Paula Charisse Luckado-Dobbins
• Lucky's Heart Home Care LLC
• Lucky's Pharmacy LLC (Lucky's Pharmacy)
• John J Ludwig, MA, LMSW, LPC
• Luis a Perez DDS Ms PC
• Chantal E Lujano
• Teresa Marie Lukasavitz, TLLP
• Leann Luke

• Dentist in Flint, MI
• Providers in Flint, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.