Lumos Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LUMOS DENTAL STUDIO

Practice address

1701 Future Way
Celebration, FL 34747-4491

Phone

(407) 497-3817

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Radha D. Patel, DMDNPI 1033648373

Title

Dentist

Phone

(407) 497-3817

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Radha Dharmendra Patel

  • Dentist
  • Orlando, FL
  • NPI 1033648373
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1013608884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FUTURE WAY",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FUTURE WAY",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474491",
            "telephone_number": "407-497-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMOS DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-497-3817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Lopez
• Doris V Lorenzi Sanchez, APRN
• Richard Raoul Lotenfoe, M.D.
• Raechel Lozano
• Adriana Luciano-del Valle, M.D.
• Andres Eduardo Luna Beato, RPH
• Sebastian Luna I
• Madeline Rose Lutz, PHARMD
• Bret J Macdermott, DC, DACS
• Paul Mack, BCBA

• General Practice Dentistry in Celebration, FL
• Providers in Celebration, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.