Active NPI
Cellini Navarro Luna, DDS
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1114006889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37464
- Practice address
- 4024 12TH St
Riverside, CA 92501-3561 - Phone
- (951) 784-0636
- Fax
- (951) 784-0674
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37464 | CA | Primary |
Addresses
Primary practice location
4024 12TH St
Riverside, CA 92501-3561
Mailing address
11863 Cedarbrook PL
Rancho Cucamonga, CA 91730-3949
Phone (909) 446-1784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37464 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114006889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11863 CEDARBROOK PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303949",
"telephone_number": "909-446-1784",
"fax_number": "951-784-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 12TH ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013561",
"telephone_number": "951-784-0636",
"fax_number": "951-784-0674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "CELLINI",
"middle_name": "NAVARRO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.