Active NPI
Gordon Luu, DDS
- General Practice Dentistry
- Eden Prairie, MN
National Provider Identifier
1366234445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D15266
- Practice address
- 18315 Cascade Dr Ste 120
Eden Prairie, MN 55347-1190 - Phone
- (952) 949-2536
- NPI assigned
- May 22, 2025
- Sex
- Male
- Sole proprietor
- No
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 | D15266 | MN | Primary |
Addresses
Primary practice location
18315 Cascade Dr Ste 120
Eden Prairie, MN 55347-1190
Mailing address
18315 Cascade Dr Ste 120
Eden Prairie, MN 55347-1190
Phone (952) 949-2536
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 |
|---|---|---|---|
| D15266 | MN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PDG, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1366234445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18315 CASCADE DR STE 120",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471190",
"telephone_number": "952-949-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18315 CASCADE DR STE 120",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471190",
"telephone_number": "952-949-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "GORDON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D15266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.