Luis Lorenzo Dancausse, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

6513 Issued in NC

Practice address

3014 Baucom Rd
Suite 200
Charlotte, NC 28269-0985

Phone

(704) 596-3186

Fax

(704) 597-5151

NPI assigned

Apr 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Brian P McNulty & Luis L Dancausse, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1063632644
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992925549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 BAUCOM RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690985",
            "telephone_number": "704-596-3186",
            "fax_number": "704-597-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 BAUCOM RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690985",
            "telephone_number": "704-596-3186",
            "fax_number": "704-597-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCAUSSE",
        "first_name": "LUIS",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Damm, PA-C
• Damvont Care Services Inc.
• Damvont Care Services Inc.
• Savannah Lyn Danahey, NP
• Jessica Ann Danback, LCSWA
• Roxanne Dancy, FNP
• Dandelion Family Counseling, PLLC
• Chablis Dandridge
• Kenetra Devonne Dandridge, LCMHC, LCAS, CCS
• James L Dandro, LMBT

• All providers in Charlotte, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.