Luzminda C Corpuz DMD Inc

Primary specialty

DentistTaxonomy code 122300000X

License

160426CA Issued in CA

Legal business name

LUZMINDA C CORPUZ DMD INC

Practice address

3711 Truxel Rd
Ste 1
Sacramento, CA 95834-3610

Phone

(916) 928-9300

NPI assigned

Aug 6, 2015

Last updated

Aug 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luzminda Corpuz Roman, DMDNPI 1275742694

Title

Owner

Phone

(916) 928-9300

Specialties & licenses 1

Addresses

Locations

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.

• Luzminda Corpuz Roman, DDS

  • Dentist
  • Sacramento, CA
  • NPI 1275742694
  NPD (past) Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1063898583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 TRUXEL RD",
            "address_2": "STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343610",
            "telephone_number": "916-928-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 TRUXEL RD",
            "address_2": "STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343610",
            "telephone_number": "916-928-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZMINDA C CORPUZ DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LUZMINDA",
        "authorized_official_middle_name": "CORPUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-928-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "160426CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.