Individual provider Active NPI

Carol Luong, DMD

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1134610025
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203570 Issued in CO
Practice address
1155 S Havana St Unit 43
Aurora, CO 80012-4017
Phone
(720) 213-0004
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00203570 CO Primary

Addresses

Primary practice location

1155 S Havana St Unit 43
Aurora, CO 80012-4017

Mailing address

7474 E Arkansas Ave Apt 1003
Denver, CO 80231-2540
Phone (360) 359-0566

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

State licenses

LicenseStateTypeSpecialty
DEN.00203570COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Luong DMD PLLC General Practice CurrentSince Aug 29, 2021 Accepting new patients
Windsor Dental Care, LLC General Practice Past Accepting new patients

Locations

730 Sleater Kinney Rd SE
Ste H
Lacey, WA 98503
Phone (360) 491-7888

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1134610025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 E ARKANSAS AVE APT 1003",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312540",
            "telephone_number": "360-359-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S HAVANA ST UNIT 43",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124017",
            "telephone_number": "720-213-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "CAROL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.