Luke Hvidston, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D13569 Issued in MN

Practice address

500 6TH St
Hawley, MN 56549-0160

Phone

(218) 483-3311

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By 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

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

State licenses

Practice roles

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.

• Hawley Family Dentisrty

  • Dental Clinic/Center
  • Hawley, MN
  • NPI 1871976175
  NPD (past) Authorized official
• Tabitha Grand Island, Inc

  dba Tabitha at Prairie Commons

  • Skilled Nursing Facility
  • Grand Island, NE
  • NPI 1568105989
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1285017962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "HAWLEY",
            "state": "MN",
            "postal_code": "565490160",
            "telephone_number": "218-483-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 6TH ST",
            "city": "HAWLEY",
            "state": "MN",
            "postal_code": "565490160",
            "telephone_number": "218-483-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HVIDSTON",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Intended
• Harold J Herbst, PA-C
• Carrie Lynne Holt, DNP
• Heidi Hunter
• Tiffany Huschle
• Independent School District 150
• Loriann M Johnson, PT
• Sarah Kieffer
• Daniel F Kuhn, DC
• Lakes Region Artificial Limb and Brace Company Inc

• Dentist in Hawley, MN
• Providers in Hawley, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.