LUCKHARDT, PLLC (NPI# 1225522949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225522949 |
Entity Type | Organization |
Organization Name | LUCKHARDT, PLLC |
Practice Address |
12925 Highway 601 Midland NC 28107 |
Mailing Address |
4901 Robdot Dr Oak Ridge NC 27310-9207 |
Practice Telephone | 3363140873 |
Mailing Telephone | 3363140873 |
Enumeration Date | 2018-06-16 |
Last Update Date | 2020-02-04 |
Authorized Official Name | DIANA L MILLARD (DENTIST) |
Authorized Official Telephone | 3363140873 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10124 | NC | Ambulatory Health Care Facilities |
Street Address |
12925 HIGHWAY 601 |
City | MIDLAND |
State | NC |
Zip Code | 28107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760452676 | Edith Elaine Cloud | Family Medicine | 12925 Highway 601, Midland Family Medicine, Midland, NC 28107-9536 | 2006-01-24 |
1760856918 | Matthew L. Hubis Dmd, Pa | Dentist | 12925 Highway 601, Suite 200, Midland, NC 28107-9535 | 2015-11-25 |
1972986321 | Diana L Millard | Dentist | 12925 Highway 601, Midland, NC 28107 | 2015-07-02 |
1659789105 | Stacy Fernandez | Nurse Practitioner | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2014-07-29 |
1265869846 | The Charlotte-mecklenburg Hospital Authority | Family Medicine | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2013-09-27 |
1316214489 | Nicole Deschenes | Nurse Practitioner | 12925 Highway 601, Suite 300, Midland, NC 28107-9535 | 2011-11-17 |
1154520823 | Theodore Kelley | Family Medicine | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2007-07-13 |
1588861843 | Meredith Bowen | Family Medicine | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2007-06-29 |
1447324777 | Eyeoptix Od, Pa | Optometrist | 12925 Highway 601, Midland, NC 28107-9535 | 2006-11-20 |
1073560850 | Carolinas Medical Center-northeast | Family Medicine | 12925 Highway 601, Suite 300, Midland, NC 28107-9535 | 2006-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649889965 | Jess P West Jr. | Dentist | 12180 Us-601 South, Midland, NC 28107 | 2020-07-23 |
1487841250 | Crawley Memorial Hospital Inc. | Skilled Nursing Facility | 315 West College Ave, Boiling Springs, NC 28107 | 2007-09-26 |
1912943192 | Amie L Howe | Pharmacist | 12925 Hwy 601 South, Midland, NC 28107 | 2006-06-22 |
1437470739 | Janice B Furr | Occupational Therapy Assistant | 8670 Hwy. 200 North, Midland, NC 28107-0000 | 2010-06-21 |
1518197623 | Rha Howell Care Center | Respite Care | 11955 Howell Center Drive, Midland, NC 28107-0000 | 2009-07-23 |
1487197547 | Katherine Moore Henriques Fernandez | Occupational Therapist | 601 Small Country Ln, Midland, NC 28107-7239 | 2016-11-22 |
1063918027 | Jeannie Legate | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
1306342365 | Gabrielle Grubic | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
1770088791 | Jordan Holt | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
1831525740 | Easter Seals Ucp North Carolina & Viriginia | Community Based Residential Treatment Facility, Mental Illness | 4293 Highway 24 27 E Ste A, Ste A, Midland, NC 28107-8500 | 2013-09-24 |
Find all providers in zip 28107 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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---|---|---|---|---|
1558968362 | Karl M Hogue Dds | Clinic/Center | 5916 Eastman Ave Ste A, Midland, MI 48640-6840 | 2020-10-05 |
1861998353 | John L Carter IIi Dds | Clinic/Center | 555 W Wackerly St Ste 3900, Midland, MI 48640-4714 | 2018-04-03 |
1336210418 | Associated Dental Billing Services, Inc | Clinic/Center | 527 Midland Ave, Midland, PA 15059-1312 | 2006-11-12 |
1720642150 | Phillips Orthodontics, Pllc | Clinic/Center | 4425 W Wadley Ave Ste 100, Midland, TX 79707-5330 | 2019-05-01 |
1457479248 | Larry B Lanham, Dds, Pa | Clinic/Center | 100 N N St, Midland, TX 79701-6409 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679170419 | Jones Kofford & Smith Dds Iv Pllc | Clinic/Center | 2420 Penny Rd, High Point, NC 27265-8120 | 2020-10-05 |
1871109041 | Steven D Robertson Dmd, Pa | Clinic/Center | 1613 Montford Dr Ste A, Charlotte, NC 28209-3793 | 2020-09-22 |
1477168532 | Caitlin Singleton Dds Pllc | Clinic/Center | 804 Desert Harbor Pl, Cary, NC 27519-9632 | 2020-09-14 |
1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
1265050504 | Hammock, Dmd & Lotakis, Dds X, Pllc | Clinic/Center | 9201 S Tryon St Ste A, Charlotte, NC 28273-4239 | 2020-07-13 |
1811514185 | Craig M. Mize Dds, Pa | Clinic/Center | 8300 Falls of Neuse Rd Ste 114, Raleigh, NC 27615-3450 | 2020-07-02 |
1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
1194349407 | Michelakis and Associates Pa | Clinic/Center | 1132 New Pointe Blvd Ste 4, Leland, NC 28451-4257 | 2020-06-02 |
1427677624 | New Hope Clinic, Inc. | Clinic/Center | 201 W Boiling Spring Rd, Southport, NC 28461-9730 | 2020-04-09 |
1699301440 | Tran and Javed Dds Pa | Clinic/Center | 6604 E Marshville Blvd Ste 1, Marshville, NC 28103-1198 | 2020-03-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.