Individual provider Active NPI

Patrick Lucaci, DDS, M.D.

  • Dentist
  • Salina, KS
National Provider Identifier
1164650313
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2009015913 Issued in MO
Practice address
200 S. Sante Fe Ave
Salina, KS 67401
Phone
(785) 829-8200
Fax
(480) 287-8296
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2009015913 MO Primary

Addresses

Primary practice location

200 S. Sante Fe Ave
Salina, KS 67401

Mailing address

200 S. Sante Fe Ave
Salina, KS 67401
Phone (785) 829-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 8, 2015 through Oct 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2009015913MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
E-Care Dentistry,P.a Current Accepting new patients
Cosmetic and Implant Dentistry of Kansas City Current Accepting new patients
Oral Facial and Implant Surgery Salina Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.lucaci@direct.tmcmed.org

Organizations & group practices 3

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1164650313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. SANTE FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-829-8200",
            "fax_number": "480-287-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. SANTE FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-829-8200",
            "fax_number": "480-287-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCACI",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS, M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009015913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.