Esteban Ricardo Lugo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D12334 Issued in MN

Practice address

13040 Riverdale Dr NW
Suite 600
Coon Rapids, MN 55448-8406

Phone

(763) 323-3042

Fax

(763) 576-3139

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Metro Dentalcare, PLC

  • Dentist
  • Lakeville, MN
  • NPI 1316913411
  NPD (past)
• Northland Dental Partners, PLLC

  • General Practice Dentistry
  • Coon Rapids, MN
  • NPI 1740938166
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225004880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23029",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554230029",
            "telephone_number": "612-861-9123",
            "fax_number": "612-861-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13040 RIVERDALE DR NW",
            "address_2": "SUITE 600",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554488406",
            "telephone_number": "763-323-3042",
            "fax_number": "763-576-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "ESTEBAN",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Clyde Lovett, MD
• Katelyn Sophia Lowery, DDS
• Thy Lu, DDS
• Sawuya Nakakande Lubega, MD
• Monica S Lucus, CRNA
• Catherine Jane Luitjens, LP
• Kate M Lundberg
• Mary Kay Lundt
• Alexis Ann Lusthoff, MS, BCBA, LBA
• Miranda K Lutterman, PMHNP-BC

• Dentist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.