Lux Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LUX DENTAL LLC

Doing business as

Accent Dental
Lux Dental LLC

Practice address

204 State St
Fort Scott, KS 66701-2031

Phone

(620) 223-0130

Fax

(620) 223-1276

NPI assigned

Nov 28, 2022

Organization subpart

Yes

Parent organization

LUX DENTAL LLCAs reported in NPPES

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

Authorized official

Name

Gina Ferris

Title

Office Manager

Phone

(620) 231-2871

Specialties & licenses 1

Addresses

Other names 2

• Accent Dental Doing business as
• Lux Dental LLC Doing business as

Tax ID family

Lux Dental LLC2 organizations share this tax ID, including this one

Part of

Lux Dental LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lux Dental LLC

  dba Accent Dental

  • Dental Clinic/Center
  • Pittsburg, KS
  • NPI 1750090270
  NPD tax ID

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1225748692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S ROUSE ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626629",
            "telephone_number": "620-231-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 STATE ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012031",
            "telephone_number": "620-223-0130",
            "fax_number": "620-223-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUX DENTAL LLC",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-231-2871"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accent Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lux Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rondie R Lamb
• Legacy Healthcare Foundation
• Ryan Lewis
• Janderon Loyd, LMSW-T
• Christina Lutter-Smith
• Joy Noel Mapes, LMSW
• Max H Patterson DDS Chartered
• Matthew Clem McGhee, MS, LCPC
• Dana Marshall McKenney, ARNP
• Charles Henley Medbery, MD

• General Practice Dentistry in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.