Travis Dan Ludy, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S7-143 Issued in NV

Practice address

1135 Vitality Dr Ste 130
Henderson, NV 89011-4809

Phone

(702) 359-7401

NPI assigned

Nov 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oweis Union Village Modern Dentistry, PC

  • General Practice Dentistry
  • Henderson, NV
  • NPI 1437733243
  NPD
• United States Navy

  • Military Hospital
  • Jacksonville, FL
  • NPI 1427328319
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1902150352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6154 DUTCH FORK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484744",
            "telephone_number": "907-841-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 VITALITY DR STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114809",
            "telephone_number": "702-359-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDY",
        "first_name": "TRAVIS",
        "middle_name": "DAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62986",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NV",
            "license": "S7-143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Luciano
• Jaime Lucius
• Alissa Lucke
• Samdra Luckett
• Saloni Bhardwaj Luckoor
• Louis Dan Luera, PHD
• Lana Marie Torres Lujan
• Mathew J Lukey, MD
• Angella F Luna, D.D.S.
• Braulio Matthew Luna

• Endodontics in Henderson, NV
• Providers in Henderson, NV by specialty
• Endodontics in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.