DR. LUKE GUSTAVE SISKOFF DDS
NPI 1649339136
Dentist - General Practice in Apple Valley, MN

Active since December 08, 2006PECOS Enrolled
14990 GLAZIER AVE, #100, APPLE VALLEY, MN 55124(952) 431-5114(952) 431-3576 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Luke Gustave Siskoff Dds NPPES

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

DR. LUKE GUSTAVE SISKOFF DDS (NPI 1649339136) is an individual general practice provider in Apple Valley, Minnesota, licensed in Minnesota (D10276) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649339136
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LUKE GUSTAVE SISKOFFCredential: DDS
Location Address14990 GLAZIER AVE, #100Apple Valley, MN 55124-7818
Mailing Address1248 Pioneer LnShakopee, MN 55379-3463 · (952) 496-3456
Fax(952) 431-3576
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649339136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · D10276
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.
14990 GLAZIER AVE, Apple Valley, MN 55124

Accepted 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)

Dr. Luke Gustave Siskoff Dds 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 55124 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 7

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

Dentist (General Practice)
14990 GLAZIER AVE, SUITE 100
APPLE VALLEY, MN 55124
Dentist (General Practice)
14990 GLAZIER AVE, SUITE 100
APPLE VALLEY, MN 55124
Dentist (General Practice)
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dentist
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dentist (General Practice)
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dentist (General Practice)
14990 GLAZIER AVE
APPLE VALLEY, MN 55124
Dentist (General Practice)
14990 GLAZIER AVE, SUITE 100
APPLE VALLEY, MN 55124

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 Luke Siskoff's NPI number?

The NPI number for Luke Siskoff is 1649339136. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Luke Siskoff located?

Luke Siskoff practices at 14990 Glazier Ave #100, Apple Valley, MN 55124. The listed phone number is (952) 431-5114.

What is Luke Siskoff's specialty?

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

Is Luke Siskoff enrolled in Medicare?

Yes. Luke Siskoff is registered in the Medicare PECOS enrollment system.

What insurance does Luke Siskoff accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Luke Siskoff 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 Luke Siskoff was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.