Lauren Ludwig, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3619-11 Issued in MS

Practice address

11 Lakeland Cir
Jackson, MS 39216-5006

Phone

(601) 981-8166

Fax

(601) 362-2164

NPI assigned

Jan 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Lakeland Dental Care PA

  • General Practice Dentistry
  • Jackson, MS
  • NPI 1235441353
  NPD (past)
• Malley Dental, PLLC

  dba Lakeland Dental Care

  • Dentist
  • Jackson, MS
  • NPI 1750077103
  NPD (past)

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1831460864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAKELAND CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165006",
            "telephone_number": "601-981-8166",
            "fax_number": "601-362-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LAKELAND CIR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165006",
            "telephone_number": "601-981-8166",
            "fax_number": "601-362-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "LAUREN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3619-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakita Moneka Luckett
• Tiana Luckett
• Willeta Luckett, PHARMD
• Keisha Pruitt Luckey, RN
• Margarita Luckhardt, MD
• Elizabeth Luker
• Reginald Lumpkin
• Emilio Miguel Luna-Suarez, MD
• Malik Floyd Lust
• Meghan Alford Luter, M.D.

• Dentist in Jackson, MS
• Providers in Jackson, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.