Individual provider Active NPI

Laura Barrera Lukin, D.D.S.

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1215196738
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0022886 Issued in TX
Practice address
22167 Westheimer Pkwy Ste 110
Katy, TX 77450-8301
Phone
(281) 599-8003
Fax
(281) 599-7707
NPI assigned
Jun 9, 2008
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 0022886 TX Primary

Addresses

Primary practice location

22167 Westheimer Pkwy Ste 110
Katy, TX 77450-8301

Mailing address

22167 Westheimer Pkwy Ste 110
Katy, TX 77450-8301
Phone (281) 599-8003

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
I20150811005996 TX Order and Referring Only - DentistPractitioner - Dentist 1850606476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0022886TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McKaskle Family Dentistry General Practice Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1215196738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508301",
            "telephone_number": "281-599-8003",
            "fax_number": "281-599-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22167 WESTHEIMER PKWY STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508301",
            "telephone_number": "281-599-8003",
            "fax_number": "281-599-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKIN",
        "first_name": "LAURA",
        "middle_name": "BARRERA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0022886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.