Individual provider Active NPI

Elizabeth Erin Lukens, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boulder, CO
National Provider Identifier
1851120141
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00206081 Issued in CO
Practice address
661 S Broadway St
Boulder, CO 80305-5926
Phone
(303) 499-9700
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN.00206081 CO Primary

Addresses

Primary practice location

661 S Broadway St
Boulder, CO 80305-5926

Mailing address

4801 S Cove Dr
Saint Joseph, MO 64506-3516
Phone (816) 344-8401

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DEN.00206081COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth Boulder P.C. CurrentSince Jul 28, 2024 Accepting new patients

Locations

661 S Broadway St
Boulder, CO 80305
Phone (303) 499-9700

Organizations & group practices 1

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": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1851120141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S COVE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063516",
            "telephone_number": "816-344-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055926",
            "telephone_number": "303-499-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKENS",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00206081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.