Luna Healthcare LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

LUNA HEALTHCARE LLC

Practice address

925 SW 4TH Ave
Canby, OR 97013-3832

Phone

(503) 266-9668

Fax

(503) 266-9662

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

John Luna

Title

Ceo/Owner

Phone

(425) 358-0956

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Luna Family Hearing Doing business as

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1134528136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980380350",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133832",
            "telephone_number": "503-266-9668",
            "fax_number": "503-266-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "425-358-0956"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500679840",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Family Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Duane Little, PA-C
• Cecelia Rachel Locati
• Lauren Rhiannon Lockhart
• Trevor Lockwood, LCSW
• Sandra Eugenia Lohstroh
• Tiffany Ma
• Kathleen Magee, PT
• Gaylord Bruce Makowski, LMFT
• Kami Manselle, LMT
• John Margadonna

• Audiologist-Hearing Aid Fitter in Canby, OR
• Providers in Canby, OR by specialty
• Audiologist-Hearing Aid Fitter in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.