Individual provider Active NPI

Laura Helen Lux, D.D.S.

  • Prosthodontics
  • Lake Geneva, WI
National Provider Identifier
1538458112
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
6690-15 Issued in WI
Practice address
716 Wisconsin St
Lake Geneva, WI 53147-1826
Phone
(262) 248-0452
Fax
(262) 248-0446
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6690-015 WI
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 6690-15 WI Primary

Addresses

Primary practice location

716 Wisconsin St
Lake Geneva, WI 53147-1826

Mailing address

716 Wisconsin St
Lake Geneva, WI 53147-1826
Phone (262) 248-0452

Other practice location 1

415 Broad St
Suite 3
Lake Geneva, WI 53147-1800
Phone (262) 248-0452

Other names 1

  • Dr. Laura Helen White Former name

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

LicenseStateTypeSpecialty
6690-015WIMDGeneral Practice Dentistry
6690-15WIMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1538458112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WISCONSIN ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471826",
            "telephone_number": "262-248-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 WISCONSIN ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471826",
            "telephone_number": "262-248-0452",
            "fax_number": "262-248-0446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Broad St",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Lake Geneva",
            "state": "WI",
            "postal_code": "531471800",
            "country_code": "US",
            "telephone_number": "262-248-0452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUX",
        "first_name": "LAURA",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6690-015",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "6690-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WHITE",
            "middle_name": "HELEN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.