Active NPI
Khanh V Luong, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lincoln, NE
National Provider Identifier
1831530187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 6363
- Practice address
- 40TH & Holdrege Street
Orthodontic Department
Lincoln, NE 68583-0740 - Phone
- (337) 296-1045
- NPI assigned
- Jul 16, 2013
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 6363 | LA | Primary |
Addresses
Primary practice location
40TH & Holdrege Street
Orthodontic Department
Lincoln, NE 68583-0740
Mailing address
2911 Fletcher Ave
Apt 126
Lincoln, NE 68504-1011
Phone (337) 296-1045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6363 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1831530187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 FLETCHER AVE",
"address_2": "APT 126",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685041011",
"telephone_number": "337-296-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40TH & HOLDREGE STREET",
"address_2": "ORTHODONTIC DEPARTMENT",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "337-296-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "KHANH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "LA",
"license": "6363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.