Individual provider Active NPI

Saloni Bhardwaj Luckoor

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1891282091
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7314 Issued in NV
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

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7314NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Velayo Green Valley Smiles Dentistry, PC General Practice CurrentSince Feb 13, 2022 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.

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.

Verify at the official NPI Registry.