DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1760562235

DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) is a healthcare provider. based in Keller, Texas. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold the professional credentials D.D.S., M.S., P.A.. They hold a License No. 20612 (TX). The NPI Number for DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) is 1760562235

Main info

Male
Name
DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.)
NPI
1760562235
Phone
(817) 514-1717
Address
601 S Main St
Enumeration Date
17 October 2006
Last Update Date
28 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.)

  • 601 S Main St

    Keller, TX 762487029

    Phone: (817) 514-1717

    Fax: (817) 704-4771

    Type: Location

  • 705 W Bailey Boswell Rd Ste 100

    Saginaw, TX 761791020

    Phone: (817) 514-1717

    Fax: (817) 704-4771

    Type: Location

  • 570 Fm 156 S Ste 200

    Haslet, TX 760523626

    Phone: (817) 514-1717

    Fax: (817) 704-4771

    Type: Location

  • 1025 Boyd Rd

    Azle, TX 760202517

    Phone: (817) 514-1717

    Fax: (817) 704-4771

    Type: Location

  • PO BOX 100

    KELLER, TX 762440100

    Phone: (817) 514-1717

    Fax: (817) 509-0625

    Type: Mailing

  • 8450 PARK VISTA BLVD

    FORT WORTH, TX 761375731

    Phone: (817) 514-1717

    Fax: (817) 704-4771

    Type: Mailing

  • North Tarrant Parkway, Keller, Tarrant County, Texas, 76148, United States

    KELLER, TX 762486293

    Phone: (817) 514-1717

    Fax: (817) 509-0625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $3,035.

Total Amount is formed as General ($3,035) + Research ($0) + Ownership ($0) = $3,035.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Align Technology, Inc. ($2,023).

Total Amount

$3,035

General + Research + Ownership

Payments

11

Total payment records

General Amount

$3,035

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76248)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.)?
DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) — NPI 1760562235 — is the standard way to identify this listing.
Can I rely on DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) being an active provider?
As of the registry snapshot, DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) is marked active.
What taxonomy line describes DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.)?
For research purposes, treat DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) as Orthodontics and Dentofacial Orthopedics Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.)?
DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.)'s geographic hint is Keller, Texas in our summary view.
Is the information about DR. JEREMY RUSSELL LUSTIG (D.D.S., M.S., P.A.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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