Individual provider Active NPI

Erika Michelle Lukavsky, DMD

  • Dentist
  • Queen Creek, AZ
National Provider Identifier
1609392679
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4753 Issued in NM
Practice address
40930 N Ironwood Dr Ste 109
Queen Creek, AZ 85140-8829
Phone
(480) 347-0753
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D011259 AZ
Dentist 122300000X DD4753 NM Primary

Addresses

Primary practice location

40930 N Ironwood Dr Ste 109
Queen Creek, AZ 85140-8829

Mailing address

19026 E Walnut CT
Queen Creek, AZ 85142-2446
Phone (707) 334-7791

Other practice location 1

NM- 571 Building #28
Building #28
El Rito, NM 87530
Phone (707) 334-7791

Other names 1

  • Erika Michelle Arana 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
D011259AZMDDentist
DD4753NMMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1609392679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19026 E WALNUT CT",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422446",
            "telephone_number": "707-334-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40930 N IRONWOOD DR STE 109",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408829",
            "telephone_number": "480-347-0753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "NM- 571 Building #28",
            "address_2": "Building #28",
            "address_purpose": "LOCATION",
            "city": "El Rito",
            "state": "NM",
            "postal_code": "87530",
            "country_code": "US",
            "telephone_number": "707-334-7791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKAVSKY",
        "first_name": "ERIKA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011259",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "ARANA",
            "middle_name": "MICHELLE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.