Individual provider Active NPI

Olaf R Lukowski, DDS

  • General Practice Dentistry
  • Apo Ae, NY
National Provider Identifier
1801853841
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813002500 TX Practitioner - Oral SurgeryPractitioner - Dentist 2062639156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-023401ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shoshone Paiute Tribes CurrentSince Jul 10, 2014 Accepting new patients
Shoshone-Paiute Tribes CurrentSince Jul 10, 2014 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.

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

Verify at the official NPI Registry.