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Deactivated NPI 1255761714 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Luptak , DDS

Dentist • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Luptak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 20, 2013
NPI Deactivation Date August 21, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Luptak, DDS was a registered Dentist practicing in Chicago, IL. Throughout an active medical career spanning 11 years, Dr. Luptak provided care at the practice location at 801 S PAULINA ST until profile deactivation on 2024-08-21.

Practice Location & Contact Primary Location

Practice Address

801 S Paulina St

Chicago, IL 606127210

Telephone 3129961031
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1207 Specialists

Practicing in Chicago, IL (4751 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019-013527

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kenneth Gehrke , DDS

Dentist - General Practice

NPI 1013120203

Doctor of Dental Surgery

Dr. Nathaniel Dancykier , DDS

Dentist - General Practice

NPI 1013383363

Doctor of Dental Surgery

NPI 1013479518

Doctor of Dental Surgery

NPI 1013805670

Doctor of Dental Medicine

NPI 1023430584

Doctor of Dental Surgery

Andrea Reale Reyes

Dentist - General Practice

NPI 1023585130

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 21, 2024

Record deactivated on August 21, 2024

NPI Profile Active November 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location November 20, 2013

Registered at 801 S PAULINA ST, CHICAGO, IL 606127210 (Tel: 3129961031)

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Updated Business Mailing Address November 20, 2013

Registered at 5731 W NEWPORT AVE, CHICAGO, IL 606344342 (Tel: 7735458911)

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Provider Name / Credentials Updated November 20, 2013

Recorded as CHARLES LUPTAK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2013

Dentist (License #019-013527 in IL)

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Initial NPI Registration & Enumeration November 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255761714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2013
Last Update: November 20, 2013
Deactivation Date: August 21, 2024

Mailing Address

5731 W Newport Ave

Chicago, IL 606344342

Phone: 7735458911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.