Luz E Estrada PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

8782 Issued in NC

Legal business name

LUZ E ESTRADA PLLC

Practice address

6104 Fayetteville Rd
Suite 104
Durham, NC 27713-6283

Phone

(919) 544-6727

Fax

(919) 484-1434

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Luz E Estrada, DDS

Title

Owner/

Phone

(919) 544-6727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Durham Dental Studio Doing business as

Locations

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1134536188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE RD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136283",
            "telephone_number": "919-544-6727",
            "fax_number": "919-484-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 FAYETTEVILLE RD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136283",
            "telephone_number": "919-544-6727",
            "fax_number": "919-484-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ E ESTRADA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/",
        "authorized_official_telephone_number": "919-544-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911620",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Luviano
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Anne Lyerly, M.D.
• Herbert Lyerly, M.D.
• Naomi Lyle, RN
• John Lynch Lyles, MD
• Kenneth W Lyles, M.D.

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.