Individual provider Active NPI

Daryn L Lu, DDS

  • Dentist
  • Edmond, OK
National Provider Identifier
1871974147
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6714 Issued in OK
Practice address
5349 E Covell Rd
Edmond, OK 73034-6937
Phone
(405) 960-3232
Fax
(405) 938-3232
NPI assigned
Jun 12, 2015
Last updated
Jul 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6714 OK Primary

Addresses

Primary practice location

5349 E Covell Rd
Edmond, OK 73034-6937

Mailing address

5349 E Covell Rd
Edmond, OK 73034-6937
Phone (405) 960-3232

Other practice location 1

16 NE 2nd St
Oklahoma City, OK 73104-2209
Phone (405) 605-2332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20170118001989 OK Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6507148046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6714OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luqy Smiles PLLC CurrentSince Jul 10, 2022 Accepting new patients

Locations

5349 E Covell Rd
Edmond, OK 73034
Phone (405) 960-3232

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1871974147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346937",
            "telephone_number": "405-960-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 E COVELL RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346937",
            "telephone_number": "405-960-3232",
            "fax_number": "405-938-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 NE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731042209",
            "country_code": "US",
            "telephone_number": "405-605-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "DARYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.