Active NPI
Deluna Dental Corporation
- General Practice Dentistry
- San Marcos, CA
National Provider Identifier
1013180777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47711
- Legal business name
- DELUNA DENTAL CORPORATION
- Practice address
- 3643 Grand Ave
Suite #D
San Marcos, CA 92078-2336 - Phone
- (760) 734-6829
- Fax
- (760) 734-6839
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose Emmanuel Rubio De Luna, D.D.S.
- Title
- Dentist/Owner
- Phone
- (760) 734-6829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47711 | CA | Primary |
Addresses
Primary practice location
3643 Grand Ave
Suite #D
San Marcos, CA 92078-2336
Mailing address
3643 Grand Ave
Suite #D
San Marcos, CA 92078-2336
Phone (951) 696-2515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033293402 | Other | CA | NPI TYPE 1 |
National Provider Directory
National Provider Directory- Tax ID family
- Deluna Dental Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Murrieta Dental Excellence
- General Practice Dentistry
- Murrieta, CA
- NPI 1093116717
Locations
3643 Grand Ave
Ste D
San Marcos, CA 92078
Phone (760) 734-6829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411689600000",
"number": "1013180777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 GRAND AVE",
"address_2": "SUITE #D",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782336",
"telephone_number": "951-696-2515",
"fax_number": "951-696-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 GRAND AVE",
"address_2": "SUITE #D",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920782336",
"telephone_number": "760-734-6829",
"fax_number": "760-734-6839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELUNA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2014-09-26",
"status": "A",
"authorized_official_last_name": "DE LUNA",
"authorized_official_first_name": "JOSE EMMANUEL",
"authorized_official_middle_name": "RUBIO",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "760-734-6829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1033293402",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.