NPIMap

Organization Active NPI

Luekenga Dental PLLC

  • General Practice Dentistry
  • Bellville, TX
National Provider Identifier
1447524178
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26119 Issued in TX
Legal business name
LUEKENGA DENTAL PLLC
Practice address
12 W Main St
Bellville, TX 77418-1440
Phone
(979) 865-3668
Fax
(979) 865-8583
NPI assigned
Feb 27, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jason Meador Luekenga, D.D.SNPI 1962666354
Title
Dentist
Phone
(979) 865-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26119 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

12 W Main St
Bellville, TX 77418-1440

Mailing address

12 W Main St
Bellville, TX 77418-1440
Phone (979) 865-3668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2012.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1447524178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181440",
            "telephone_number": "979-865-3668",
            "fax_number": "979-865-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181440",
            "telephone_number": "979-865-3668",
            "fax_number": "979-865-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUEKENGA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MEADOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "979-865-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.