IndividualActive
Daniel Luckenbill, MD
NPI 1154765980 · Sports Medicine (Orthopaedic Surgery) Physician · Beavercreek, OH
Provider details
- NPI number
- 1154765980
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35.136839 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431-1705
Phone: (937) 433-5309
Fax: (937) 298-0287
Approximate (ZIP-level) locationGet directions
Mailing address
3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.