Lucas A Hardy, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1146 Issued in WY

Practice address

4611 Arroyo Dr Suite 1
Casper, WY 82604

Phone

(307) 235-1600

Fax

(307) 235-1601

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 12, 2016 through Oct 12, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: luke.hardy@direct.wyomingmedicalcenter.org

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.

• Wyoming Oral & Maxillofacial Surgery P. C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Casper, WY
  • NPI 1356630057
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1871682039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 ARROYO DR SUITE 1",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-235-1600",
            "fax_number": "307-235-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 ARROYO DR SUITE 1",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-235-1600",
            "fax_number": "307-235-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "LUCAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WY",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123102200",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Richard Hansen, MD
• Nuttiraporn Hanson
• Tia Jean Hansuld (Welch), FNP
• Karen Harden, MS, LPC, NCC
• Jack Benjamin Hardy, D.M.D.
• Harkins Therapy Services LLC (Mountain West Mental Health)
• Shane M Harkins, LCSW
• Kimberlee Jo Harmon, MS CCC-SLP
• Paige Harmon, CMT
• Preston Jenks Harmon, DMD

• Oral and Maxillofacial Surgery (Dentist) in Casper, WY
• Providers in Casper, WY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.