NPIMap

Organization Active NPI

Eleanor M Lumahan DDS Inc

  • General Practice Dentistry
  • National City, CA
National Provider Identifier
1063644961
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54283 Issued in CA
Legal business name
ELEANOR M LUMAHAN DDS INC
Practice address
1127 Highland Ave
National City, CA 91950-3517
Phone
(619) 336-6063
Fax
(619) 336-6066
NPI assigned
Aug 12, 2009
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Dr. Eleanor Madrid Lumahan, DDSNPI 1518105089
Title
President
Phone
(619) 336-6063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54283 CA Primary

Addresses

Primary practice location

1127 Highland Ave
National City, CA 91950-3517

Mailing address

1127 Highland Ave
National City, CA 91950-3517
Phone (619) 336-6063

Other identifiers 2

IdentifierTypeStateIssuer
D54283OtherCADENTICAL
1518105089OtherCANPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1063644961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503517",
            "telephone_number": "619-336-6063",
            "fax_number": "619-336-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 HIGHLAND AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503517",
            "telephone_number": "619-336-6063",
            "fax_number": "619-336-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR M LUMAHAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "LUMAHAN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "MADRID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-336-6063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "D54283",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1518105089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.