Kevin W. Luan, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

136.000224 Issued in IL

Practice address

1624 W Division St Ste B
Chicago, IL 60622-3908

Phone

(739) 697-9796

NPI assigned

Sep 20, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwestern Dental Center

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1427105139
  NPD (past)
• Northwestern Medical Faculty Foundation

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1417718479
  NPD (past)
• Northwestern Memorial Hospital

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1942588199
  NPD (past)

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1750890877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W DIVISION ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223908",
            "telephone_number": "773-697-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W DIVISION ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223908",
            "telephone_number": "739-697-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 N Michigan Ave Ste 1450",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606116751",
            "country_code": "US",
            "telephone_number": "872-318-3138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUAN",
        "first_name": "KEVIN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "136.000224",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "136.000224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Xuefeng Lu, MD, PHD
• Vivien Lu, MD
• Wen Lu, D.D.S.
• Yining Lu, MD
• Lua Cavela PLLC
• Panita Luangkesorn, PHARM.D.
• Chairat Luangsuwan, MD
• Charisma Luat, DDS
• Marietta M Luayon, M.D.
• Michael G Luban, D.C.

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.