NPIMap

Organization Active NPI

Jennifer Y Luna DDS PLLC

  • Dentist
  • Mountlake Terrace, WA
National Provider Identifier
1053729723
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
122300000X Issued in WA
Legal business name
JENNIFER Y LUNA DDS PLLC
Practice address
22725 44TH Ave W Ste 100
Mountlake Terrace, WA 98043-4583
Phone
(425) 412-3955
Fax
(425) 967-5583
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Jennifer Yong Luna, DDS
Title
Dentist
Phone
(206) 226-3495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 122300000X WA Primary

Addresses

Primary practice location

22725 44TH Ave W Ste 100
Mountlake Terrace, WA 98043-4583

Mailing address

22725 44TH Ave W Ste 100
Mountlake Terrace, WA 98043-4583
Phone (425) 412-3955

National Provider Directory

National Provider Directory

Locations

22725 44th Ave W
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 412-3955

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1053729723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434583",
            "telephone_number": "425-412-3955",
            "fax_number": "425-967-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434583",
            "telephone_number": "425-412-3955",
            "fax_number": "425-967-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER Y LUNA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "YONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "206-226-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "122300000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.