STEPHANIE N LUCKETT DMD
NPI 1003224833
Dentist in Louisville, KY

Q: What is Stephanie Luckett's NPI number?

The NPI number for Stephanie Luckett is 1003224833. It was assigned to this individual provider in the NPPES registry on July 24, 2014. The provider is also known as Stephanie N Mitchell Dmd.

Q: What is Stephanie Luckett's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Luckett was last updated on August 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 24, 2014PECOS Enrolled

2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 772-8160(502) 772-8108 Get Directions Write a Review

NPPES record last updated: August 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie N Luckett Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE N LUCKETT DMD (NPI 1003224833) is an individual dentist in Louisville, Kentucky, licensed in Kentucky (9477) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003224833

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSTEPHANIE N LUCKETTCredential: DMD

Location Address2215 PORTLAND AVELouisville, KY 40212-1033

Mailing Address2215 Portland AvenueLouisville, KY 40242-3214 · (502) 772-8160 · Fax (502) 772-8108

Phone(502) 772-8160

Fax(502) 772-8108

Sole ProprietorYes

Enumeration DateJuly 24, 2014

Last NPPES UpdateAugust 6, 2016

✔ NPI 1003224833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in KY · 9477

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2215 PORTLAND AVE, Louisville, KY 40212

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Other Names 1

Former Name (1)Stephanie N Mitchell Dmd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie N Luckett Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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