Organization Active NPI

Aileen C Luna Dental Corp

  • General Practice Dentistry
  • San Dimas, CA
National Provider Identifier
1013273093
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50780 Issued in CA
Legal business name
AILEEN C LUNA DENTAL CORP
Practice address
1301 W Arrow Hwy Ste 120
San Dimas, CA 91773-2330
Phone
(909) 592-8338
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Aileen Contreras Luna, DDS
Title
Dentist
Phone
(909) 684-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50780 CA Primary

Addresses

Primary practice location

1301 W Arrow Hwy Ste 120
San Dimas, CA 91773-2330

Mailing address

1301 W Arrow Hwy Ste 120
San Dimas, CA 91773-2330
Phone (909) 592-8338

National Provider Directory

National Provider Directory

Locations

1301 W Arrow Hwy
Ste 120
San Dimas, CA 91773
Phone (909) 592-8338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1013273093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W ARROW HWY STE 120",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732330",
            "telephone_number": "909-592-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W ARROW HWY STE 120",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732330",
            "telephone_number": "909-592-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILEEN C LUNA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_middle_name": "CONTRERAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-684-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.