Active NPI
Saloni Bhardwaj Luckoor
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1891282091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7314
- Practice address
- 2570 Wigwam Pkwy Ste 110
Henderson, NV 89074-6225 - Phone
- (702) 757-3399
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D010420 | AZ | |
| General Practice Dentistry | 1223G0001X | 7314 | NV | Primary |
Addresses
Primary practice location
2570 Wigwam Pkwy Ste 110
Henderson, NV 89074-6225
Mailing address
1061 S State Route 260
Cottonwood, AZ 86326-4624
Other practice location 1
500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-4646
Other practice location 2
1061 S State Route 260
Cottonwood, AZ 86326-4624
Phone (928) 239-3259
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7314 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velayo Green Valley Smiles Dentistry, PC | General Practice | Current | Accepting new patients |
Locations
17000 Red Hill Ave
Irvine, CA 92614
Phone (714) 845-8890
2570 Wigwam Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 757-3399
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Henderson, NV
- NPI 1588036578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1891282091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 S STATE ROUTE 260",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 WIGWAM PKWY STE 110",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890746225",
"telephone_number": "702-757-3399"
}
],
"practiceLocations": [
{
"address_1": "500 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Winslow",
"state": "AZ",
"postal_code": "860472169",
"country_code": "US",
"telephone_number": "928-289-4646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1061 S State Route 260",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863264624",
"country_code": "US",
"telephone_number": "928-239-3259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCKOOR",
"first_name": "SALONI",
"middle_name": "BHARDWAJ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D010420",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "7314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.