Active NPI
Luke Edward Fogarty, DMD
- Dentist
- Hollywood, FL
National Provider Identifier
1992494686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN31727
- Practice address
- 3411 Johnson St
Hollywood, FL 33021-5420 - Phone
- (954) 820-5304
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN31727 | FL | Primary |
Addresses
Primary practice location
3411 Johnson St
Hollywood, FL 33021-5420
Mailing address
3411 Johnson St
Hollywood, FL 33021-5420
Phone (954) 820-5304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1992494686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215420",
"telephone_number": "954-820-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215420",
"telephone_number": "954-820-5304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "LUKE",
"middle_name": "EDWARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN31727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.