DR. ROY CREAGER LUSCH DDS
NPI 1467519868
Dentist - General Practice in Portland, OR

Active since January 03, 2007
948 NE 102ND AVE, SUITE 105, PORTLAND, OR 97220(503) 253-1109 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roy Creager Lusch Dds NPPES

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

DR. ROY CREAGER LUSCH DDS (NPI 1467519868) is an individual general practice provider in Portland, Oregon, licensed in Oregon (6360) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1467519868
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROY CREAGER LUSCHCredential: DDS
Location Address948 NE 102ND AVE, SUITE 105Portland, OR 97220-4064
Mailing Address1405 Se 115th AvePortland, OR 97216-3965 · (503) 863-4048
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 19, 2012
NPI 1467519868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 6360
Definition
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.
948 NE 102ND AVE, Portland, OR 97220

Other Identifiers 1

Other930943902OR · Tax Id

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Chiropractor
948 NE 102ND AVE, SUITE 106
PORTLAND, OR 97220
Dentist
948 NE 102ND AVE, SUITE # 105
PORTLAND, OR 97220
Community/Behavioral Health
948 NE 102ND AVE, SUITE 101
PORTLAND, OR 97220
Podiatrist (Foot Surgery)
948 NE 102ND AVE, SUITE 103
PORTLAND, OR 97220
Counselor (Addiction (Substance Use Disorder))
948 NE 102ND AVE, STE 101
PORTLAND, OR 97220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Lusch's NPI number?

The NPI number for Roy Lusch is 1467519868. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Roy Lusch located?

Roy Lusch practices at 948 NE 102nd Ave Suite 105, Portland, OR 97220. The listed phone number is (503) 253-1109.

What is Roy Lusch's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Roy Lusch accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 13 other insurers list Roy Lusch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roy Lusch was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.