Active NPI
Lukang Xiao
- General Practice Dentistry
- North Little Rock, AR
National Provider Identifier
1356809677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4509
- Practice address
- 2411 McCain Blvd
North Little Rock, AR 72116-7505 - Phone
- (501) 939-4413
- NPI assigned
- Mar 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4509 | AR | Primary |
Addresses
Primary practice location
2411 McCain Blvd
North Little Rock, AR 72116-7505
Mailing address
5008 7TH Ave
Brooklyn, NY 11220-2167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4509 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1356809677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 7TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 MCCAIN BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167505",
"telephone_number": "501-939-4413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIAO",
"first_name": "LUKANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-05",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.