Organization Active NPI

Deluna Dental Corporation

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1013180777
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47711 Issued in CA
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

Updated by the provider on Sep 26, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1033293402OtherCANPI TYPE 1

National Provider Directory

National Provider Directory
Tax ID family
Deluna Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.