DR. MICHAEL JOSEPH LUARDE (NPI# 1780899096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780899096 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH LUARDE |
| Credential | D.D.S. |
| Practice Address |
3030 Lake Ave Suite 19 Fort Wayne IN 46805-5428 |
| Mailing Address |
7830 E Manitou Trl-92 Roanoke IN 46783-9203 |
| Practice Telephone | 2604268061 |
| Practice Fax Number | 2604268062 |
| Mailing Telephone | 2606723219 |
| Mailing Fax Number | 2606723214 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12009032 | IN | Dental Providers |
| Street Address |
3030 LAKE AVE SUITE 19 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073507745 | Thomas P Van Den Driessche | Family Medicine | 3030 Lake Ave, Suite32, Fort Wayne, IN 46805-5428 | 2005-09-08 |
| 1417494170 | Linzie Tuck | Behavioral Analyst | 3030 Lake Ave, Suite 20, Fort Wayne, IN 46805-5428 | 2017-01-19 |
| 1447587696 | Indiana Endocrine Specialist, LLC | Clinic/Center | 3030 Lake Ave, Suite 17, Fort Wayne, IN 46805-5428 | 2009-11-09 |
| 1225204613 | Marilyn Arlene Nathan | Psychologist | 3030 Lake Ave, Fort Wayne, IN 46805-5428 | 2008-05-05 |
| 1538349956 | Thomas P Van Den Driessche | Family Medicine | 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428 | 2007-11-14 |
| 1417156456 | Nora Marie Stewart | Audiologist-Hearing Aid Fitter | 3030 Lake Ave, Suite 23, Fort Wayne, IN 46805-5428 | 2007-07-11 |
| 1093916959 | Little Turtle Pediatrics, P.C. | Pediatrics | 3030 Lake Ave, Suite 10, Fort Wayne, IN 46805-5428 | 2007-05-29 |
| 1093938102 | Interdisciplinary Diagnostic and Evaluation Center, Inc. | Clinic/Center | 3030 Lake Ave, Suite 7, Fort Wayne, IN 46805-5428 | 2007-04-10 |
| 1790801512 | Pediatric & Adult Allergy Asthma & Immunology Specialists, LLC | Allergy & Immunology | 3030 Lake Ave, Suite 27, Fort Wayne, IN 46805-5428 | 2007-03-22 |
| 1568595999 | Pediatrics Center of Fort Wayne, P.C. | Pediatrics | 3030 Lake Ave, #25a, Fort Wayne, IN 46805-5428 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1295357481 | Sycamore Hills Dentistry | Dentist | 10082 Illinois Rd, Fort Wayne, IN 46804-5772 | 2020-05-11 |
| 1699324103 | Phillip M. Mckean Professional Corporation | Dentist | 6605 E State Blvd Ste 7, Fort Wayne, IN 46815-7036 | 2019-09-06 |
| 1598322083 | Charles Chase Ellinwood | Dentist | 5725 Maplecrest Rd Ste 1, Fort Wayne, IN 46835-4937 | 2019-05-21 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1821582172 | Jacob Yager | Dentist | 9830 Auburn Rd Ste 101, Fort Wayne, IN 46825-2464 | 2018-06-20 |
| 1740772656 | Colleen Rose Allen | Dentist | 10213 Dupont Circle Dr W, Fort Wayne, IN 46825-1656 | 2018-06-06 |
| 1407360910 | Grace Xinxing Clark | Dentist | 4716 Illinois Rd Ste 101, Fort Wayne, IN 46804-5123 | 2017-11-20 |
| 1578959375 | Ronald L Rumbaugh Dds PC | Dentist | 10506 Coldwater Rd, Fort Wayne, IN 46845-1235 | 2015-04-09 |
| 1619388063 | Familia Dental Spfw Pllc | Dentist | 100 E Pettit Ave, 1a, Fort Wayne, IN 46806-3003 | 2014-05-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.