Individual provider Active NPI

Luz Dary Horton, DDS

  • Dentist
  • Emporia, KS
National Provider Identifier
1114566684
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61537 Issued in KS
Practice address
420 W 15TH Ave
Emporia, KS 66801-5367
Phone
(620) 342-4864
Fax
(620) 342-4937
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61537 KS Primary

Addresses

Primary practice location

420 W 15TH Ave
Emporia, KS 66801-5367

Mailing address

420 W 15TH Ave
Emporia, KS 66801-5367
Phone (620) 342-4864

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adreasher@khindirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200430001670 KS Practitioner - Dentist 7719317957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carearc, Inc. CurrentSince Apr 6, 2020 Accepting new patients
Carearc, Inc. CurrentSince Apr 6, 2020 Accepting new patients

Locations

420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864

Organizations & group practices 2

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1114566684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864",
            "fax_number": "620-342-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864",
            "fax_number": "620-342-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "LUZ",
        "middle_name": "DARY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adreasher@khindirect.org",
            "affiliation": "N",
            "endpointDescription": "KHIN User",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "420 W 15th Ave",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668015367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.