Active NPI
Laura Helen Lux, D.D.S.
- Prosthodontics
- Lake Geneva, WI
National Provider Identifier
1538458112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 6690-15
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6690-015 | WI | |
| Prosthodontics | 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
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 |
|---|---|---|---|
| 6690-015 | WI | MD | General Practice Dentistry |
| 6690-15 | WI | MD | Prosthodontist |
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.