Mulokozi K Lugakingira, DMD, DDS, MS.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8348 Issued in TN

Practice address

2121 E Dupont Rd
C
Fort Wayne, IN 46825-1546

Phone

(260) 490-2013

Fax

(260) 490-1081

NPI assigned

Aug 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 7, 2021 through Apr 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1790787695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E DUPONT RD",
            "address_2": "C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251546",
            "telephone_number": "260-490-2013",
            "fax_number": "260-490-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E DUPONT RD",
            "address_2": "C",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251546",
            "telephone_number": "260-490-2013",
            "fax_number": "260-490-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGAKINGIRA",
        "first_name": "MULOKOZI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD, DDS, MS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8348",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027483",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440525",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn J. Ludwig, PA-C
• Jerome Ludwig, MD
• Kevin Harrington Ludwig, D.D.S.
• Sarah Lynn Ludy, RN
• Ashley Lynne Luebke
• Tamara K Luginbill, CMA
• Stephen D Lugo, M.D.
• Lauren Luley, EDS, BCBA
• Lumen Orthotics & Prosthetics
• Luminary Hospice of Fort Wayne, LLC

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.