Individual provider Active NPI

Luke Barnes Kauffman, DDS

  • Endodontics
  • Hot Springs, AR
National Provider Identifier
1124032362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
297013 Issued in AR
Practice address
1656 Malvern Ave
Suite a
Hot Springs, AR 71901-7138
Phone
(501) 624-1179
Fax
(501) 624-4109
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 297013 AR Primary

Addresses

Primary practice location

1656 Malvern Ave
Suite a
Hot Springs, AR 71901-7138

Mailing address

1656 Malvern Ave
Suite a
Hot Springs, AR 71901-7138
Phone (501) 624-1179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20160120000455 AR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799088050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297013ARMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Luke B. Kauffman, DDS, PA CurrentSince Dec 13, 2020 Accepting new patients

Locations

1656 Malvern Ave
Ste A
Hot Springs, AR 71901
Phone (501) 624-1179

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124032362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 MALVERN AVE",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017138",
            "telephone_number": "501-624-1179",
            "fax_number": "501-624-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 MALVERN AVE",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017138",
            "telephone_number": "501-624-1179",
            "fax_number": "501-624-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "LUKE",
        "middle_name": "BARNES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AR",
            "license": "297013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.