JEFFREY BRENT LUCKEY (NPI# 1225119357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225119357 |
| Entity Type | Individual |
| Full Name | JEFFREY BRENT LUCKEY |
| Credential | D.D.S. |
| Practice Address |
9456 Double R Blvd Suite A Reno NV 89521-5977 |
| Practice Telephone | 7758514268 |
| Practice Fax Number | 7758514321 |
| Mailing Telephone | 7758514268 |
| Mailing Fax Number | 7758514321 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
S7-40 | NV | Dental Providers |
| Street Address |
9456 DOUBLE R BLVD SUITE A |
| City | RENO |
| State | NV |
| Zip Code | 89521-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245311083 | Scott D. Jarrett, Sierra Endodontics, Ltd. | Dentist | 9456 Double R Blvd, Suite A, Reno, NV 89521-5977 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151411 | High Desert Endodontic Specialists | Dentist | 4104 Caughlin Square, 2, Reno, NV 89519 | 2019-12-17 |
| 1063900595 | Summit Boulevard Dental | Dentist | 13985 S Virginia St Ste 806, Reno, NV 89511-8934 | 2018-04-30 |
| 1134560519 | John Eric Cercek | Dentist | 780 Rosewood Dr, Reno, NV 89509-3636 | 2013-07-12 |
| 1952520884 | D. Reeves & R. Iwasiuk, D.d.s., Ltd | Dentist | 5420 Kietzke Lane, Suite 100, Reno, NV 89511 | 2007-04-25 |
| 1356371793 | Rodney Allen Gray | Dentist | 4101 Caughlin Sq, Suite 2, Reno, NV 89519 | 2006-07-03 |
| 1457344889 | Scott Thomas Weed | Dentist | 6151 Lakeside Dr Ste 2200, Reno, NV 89511-8543 | 2005-08-31 |
| 1871021113 | John Barrett | Dentist | 280 Vista Knoll Pkwy, Reno, NV 89506-5647 | 2017-05-31 |
| 1982846838 | Randall John Iwasiuk | Dentist | 5420 Kietzke Ln, Suite 100, Reno, NV 89511-3022 | 2009-03-24 |
| 1982846846 | David M Reeves | Dentist | 5420 Kietzke Ln, Suite 100, Reno, NV 89511-3022 | 2009-03-24 |
| 1356564090 | Greg A Brouner | Dentist | 1101 West Moana Lane, Suite 4, Reno, NV 89509-4795 | 2007-04-11 |
| Find all providers in RENO | ||||
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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.