Individual provider Active NPI

Lucas J Hemann, DDS

  • General Practice Dentistry
  • Dubuque, IA
National Provider Identifier
1508112244
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08947 Issued in IA
Practice address
3455 Stoneman Rd
Dubuque, IA 52002-5292
Phone
(563) 556-3213
Fax
(563) 556-5253
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08947 IA Primary

Addresses

Primary practice location

3455 Stoneman Rd
Dubuque, IA 52002-5292

Mailing address

3455 Stoneman Rd
Dubuque, IA 52002-5292
Phone (563) 556-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516002286 IA Order and Referring Only - DentistPractitioner - Dentist 4284954850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08947IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1508112244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STONEMAN RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025292",
            "telephone_number": "563-556-3213",
            "fax_number": "563-556-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 STONEMAN RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025292",
            "telephone_number": "563-556-3213",
            "fax_number": "563-556-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMANN",
        "first_name": "LUCAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.