Luciana H Kano-Wilson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12011382A Issued in IN

Practice address

2525 Sandcrest Blvd
Columbus, IN 47203-3048

Phone

(812) 372-6165

Fax

(812) 372-3065

NPI assigned

Nov 5, 2009

Last updated

Nov 5, 2009By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not 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.

• Sandcrest Dental Health LLC

  • General Practice Dentistry
  • Columbus, IN
  • NPI 1083037782
  NPD (past) Authorized official
• Sandcrest Dental Health Associates, P.C.

  • General Practice Dentistry
  • Columbus, IN
  • NPI 1801909965
  NPD (past)

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1356678775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "812-372-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033048",
            "telephone_number": "812-372-6165",
            "fax_number": "812-372-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANO-WILSON",
        "first_name": "LUCIANA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Junge
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• Kimberly Mary Kaisher, LCSW, LCAC
• David Kalambet, DPM
• Clarita L Kalovidouris, MD
• Kathleen Smith MD, LLC
• Baldeep Kaur, M.D.
• Navpreet Kaur, DDS
• Danielle Keach, NP
• Rebecca J Keach, OT

• Dentist in Columbus, IN
• Providers in Columbus, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.