Organization Active NPI

Lucas Orthodonitcs, LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Buffalo Grove, IL
National Provider Identifier
1386769792
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
LUCAS ORTHODONITCS, LTD.
Practice address
1401 McHenry Rd
Suite 221
Buffalo Grove, IL 60089-1382
Phone
(847) 459-7124
Fax
(847) 459-7138
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin P. Lucas, D.D.S.
Title
President
Phone
(847) 651-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X IL Primary

Addresses

Primary practice location

1401 McHenry Rd
Suite 221
Buffalo Grove, IL 60089-1382

Mailing address

1401 McHenry Rd
Suite 221
Buffalo Grove, IL 60089-1382
Phone (847) 459-7124

National Provider Directory

National Provider Directory

Locations

1401 McHenry Rd
Ste 221
Buffalo Grove, IL 60089
Phone (847) 459-7124

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386769792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "SUITE 221",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-459-7124",
            "fax_number": "847-459-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "SUITE 221",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-459-7124",
            "fax_number": "847-459-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS ORTHODONITCS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-651-7124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.