Individual provider Active NPI

Navneet Aulakh

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1225514805
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012996A Issued in IN
Practice address
Lakewood Family Dental of Kokomo PLLC
2302 S Dixon Rd Suite 125
Kokomo, IN 46902
Phone
(908) 616-8759
NPI assigned
Jul 17, 2018
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 12012996A IN Primary

Addresses

Primary practice location

Lakewood Family Dental of Kokomo PLLC
2302 S Dixon Rd Suite 125
Kokomo, IN 46902

Mailing address

10396 Yosemite LN
Indianapolis, IN 46234-9825
Phone (510) 366-6957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190118001027 IN Order and Referring Only - DentistPractitioner - Dentist 3678819240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012996AINMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: naulakh580094@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1225514805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10396 YOSEMITE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462349825",
            "telephone_number": "510-366-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKEWOOD FAMILY DENTAL OF KOKOMO PLLC",
            "address_2": "2302 S DIXON RD SUITE 125",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "46902",
            "telephone_number": "908-616-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULAKH",
        "first_name": "NAVNEET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012996A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.