Active NPI
Aaron V Lac, DMD
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1083628374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4561
- Practice address
- 10170 West Tropicana Ave
Suite #155
Las Vegas, NV 89147 - Phone
- (702) 248-0081
- Fax
- (702) 248-7123
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4561 | NV | Primary |
Addresses
Primary practice location
10170 West Tropicana Ave
Suite #155
Las Vegas, NV 89147
Mailing address
72 Pine Bay CT
Las Vegas, NV 89148
Phone (702) 838-9277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1606724 | Other | NV | UNITE CONCORDIA DMR |
| 100503172 | Medicaid | NV |
Other names 1
- Luong Huu Lac
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lac Dental LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083628374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 PINE BAY CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "702-838-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10170 WEST TROPICANA AVE",
"address_2": "SUITE #155",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89147",
"telephone_number": "702-248-0081",
"fax_number": "702-248-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAC",
"first_name": "AARON",
"middle_name": "V",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITE CONCORDIA DMR",
"identifier": "1606724",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503172",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUONG",
"last_name": "LAC",
"middle_name": "HUU",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.