Kenneth Michael Luminais Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5732 Issued in LA

Practice address

117 Saint Michael St
Thibodaux, LA 70301-3437

Phone

(985) 447-4783

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 31, 2016 through May 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1265774160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SAINT MICHAEL ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SAINT MICHAEL ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013437",
            "telephone_number": "985-447-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMINAIS",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Kurtz Loupe, LPN
• Da'Quita Lucien
• Luis Lujano
• Kathy Jean Luke, CPSS
• Tabitha D Luke, NP
• Alyssa Nicole Lusco, PA
• Jacqueline Luter Calloway
• Kalie Fick Lyles, ABA
• Sydnei Mabile
• D Rita Maduell, LCSW

• General Practice Dentistry in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.