Active NPI
Olaf R Lukowski, DDS
- General Practice Dentistry
- Apo Ae, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- CMR 442
Heidelberg Dental Activity Credentials Office
Apo Ae, NY 09042 - Phone
- (622) 117-2288
- NPI assigned
- Apr 26, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
CMR 442
Heidelberg Dental Activity Credentials Office
Apo Ae, NY 09042
Mailing address
US Army Hospital Credentials Office
Karlsruherstr 144 Nachricten Kaserne BLDG. 3607
Heidelberg, BADEN WURTEMBOURG 69126
DE
Phone 496221172728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-023401 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoshone Paiute Tribes | Current | Accepting new patients | |
| Shoshone-Paiute Tribes | Current | Accepting new patients |
Locations
1623 Hospital Loop
Owyhee, NV 89832
Phone (775) 757-2403
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Owyhee Community Health Facility
- Clinic/Center
- Owyhee, NV
- NPI 1528230224
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801853841",
"addresses": [
{
"country_code": "DE",
"country_name": "Germany",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "US ARMY HOSPITAL CREDENTIALS OFFICE",
"address_2": "KARLSRUHERSTR 144 NACHRICTEN KASERNE BLDG. 3607",
"city": "HEIDELBERG",
"state": "BADEN WURTEMBOURG",
"postal_code": "69126",
"telephone_number": "496221172728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CMR 442",
"address_2": "HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE",
"city": "APO AE",
"state": "NY",
"postal_code": "09042",
"telephone_number": "622-117-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKOWSKI",
"first_name": "OLAF",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apo Ae, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.