Individual provider Active NPI

Mark E. Lukin, DDS

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1174718381
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23397 Issued in TX
Practice address
7417 Branford PL Ste 100
Sugar Land, TX 77479-4999
Phone
(281) 265-9000
Fax
(281) 265-7554
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 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 23397 TX Primary

Addresses

Primary practice location

7417 Branford PL Ste 100
Sugar Land, TX 77479-4999

Mailing address

7417 Branford PL Ste 100
Sugar Land, TX 77479-4999
Phone (281) 265-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160420002541 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5991003121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23397TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lukin Family Dentistry, PLLC General Practice PastSince Dec 15, 2019 Accepting new patients

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1174718381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7417 BRANFORD PL STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794999",
            "telephone_number": "281-265-9000",
            "fax_number": "281-265-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7417 BRANFORD PL STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794999",
            "telephone_number": "281-265-9000",
            "fax_number": "281-265-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKIN",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.