NPIMap

Organization Active NPI

Deluna Alarcon Dental Corporation

Doing business as Grand Smiles Family and Cosmetic Dentistry

  • General Practice Dentistry
  • San Marcos, CA
National Provider Identifier
1093980732
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47711 Issued in CA
Legal business name
DELUNA ALARCON DENTAL CORPORATION
Doing business as
Grand Smiles Family and Cosmetic Dentistry
Practice address
3643 Grand Ave
Suite D
San Marcos, CA 92078-2336
Phone
(760) 734-6829
Fax
(760) 734-6839
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Jose Emmanuel Rubio De Luna, D.D.S.
Title
Dentist/President
Phone
(760) 734-6829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 47711 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 40781 CA

Addresses

Primary practice location

3643 Grand Ave
Suite D
San Marcos, CA 92078-2336

Mailing address

3643 Grand Ave
Suite D
San Marcos, CA 92078-2336
Phone (760) 734-6829

Other names 1

  • Grand Smiles Family and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
De Luna Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1093980732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 GRAND AVE",
            "address_2": "SUITE D",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782336",
            "telephone_number": "760-734-6829",
            "fax_number": "760-734-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 GRAND AVE",
            "address_2": "SUITE D",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782336",
            "telephone_number": "760-734-6829",
            "fax_number": "760-734-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUNA ALARCON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "DE LUNA",
        "authorized_official_first_name": "JOSE EMMANUEL",
        "authorized_official_middle_name": "RUBIO",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "760-734-6829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47711",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Smiles Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.