DR. JONATHAN MICHAEL LUBECK DMD
NPI 1811089170
Dentist - General Practice in Roanoke, VA
About Dr. Jonathan Michael Lubeck Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN MICHAEL LUBECK DMD (NPI 1811089170) is an individual general practice provider in Roanoke, Virginia, licensed in Virginia (041411406) and active in the NPI registry since September 2006. He has opted out of Medicare through November 3, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jonathan Michael Lubeck Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 3, 2025 through November 3, 2027.
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.
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 Jonathan Lubeck's NPI number?
The NPI number for Jonathan Lubeck is 1811089170. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Jonathan Lubeck located?
Jonathan Lubeck practices at 5004 Brambleton Ave, Roanoke, VA 24018. The listed phone number is (540) 774-1019.
What is Jonathan Lubeck's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jonathan Lubeck enrolled in Medicare?
No. Jonathan Lubeck has opted out of Medicare through November 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jonathan Lubeck was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Jonathan Michael Lubeck, DMD · NPI 1811089170
General Practice provider in Roanoke, Virginia. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1811089170 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 041411406 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5004 BRAMBLETON AVE, Roanoke, VA 24018-4605
- **Phone:** (540) 774-1019
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 3, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** May 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1811089170) · Data from the CMS NPPES public registry.