Individual provider Active NPI

Luz House, DDS

  • General Practice Dentistry
  • Hempstead, NY
National Provider Identifier
1104226638
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
059216 Issued in NY
Practice address
619 Fulton Ave
Hempstead, NY 11550-4553
Phone
(516) 572-1300
Fax
(516) 566-3954
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63924 CA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 059216 NY Primary

Addresses

Primary practice location

619 Fulton Ave
Hempstead, NY 11550-4553

Mailing address

8110 135TH St
Apt 709
Briarwood, NY 11435-1050
Phone (917) 684-1113

Other practice location 1

1080 Sunrise Hwy
Amityville, NY 11701-2526
Phone (631) 716-9026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200212000763 NY Practitioner - Dentist 3971867623 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63924CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island Multi-Specialty Current Accepting new patients
Damian Family Care Centers, Inc. Multi-Specialty CurrentSince Dec 21, 2024 Accepting new patients
Damian Family Care Centers, Inc. CurrentSince Dec 21, 2024 Accepting new patients
Ryan-Chelsea Clinton Community Health Center Multi-Specialty CurrentSince Jan 6, 2020 Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 28, 2024 Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 28, 2024 Accepting new patients

Locations

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

619 Fulton Ave
Hempstead, NY 11550
Phone (516) 572-1300

8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000

13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

645 10th Ave
New York, NY 10036
Phone (212) 265-4500

682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500

Organizations & group practices 6

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1104226638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 135TH ST",
            "address_2": "APT 709",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351050",
            "telephone_number": "917-684-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504553",
            "telephone_number": "516-572-1300",
            "fax_number": "516-566-3954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117012526",
            "country_code": "US",
            "telephone_number": "631-716-9026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "LUZ",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63924",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.