Luz-Elena Valencia, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009588 Issued in IN

Legal business name

LUZ-ELENA VALENCIA, DDS, PC

Practice address

625 N Madison Ave
Greenwood, IN 46142-4086

Phone

(317) 865-1010

Fax

(317) 865-7070

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Luz-Elena Valencia, DDSNPI 1326131194

Title

Dentist

Phone

(317) 865-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luz-Elena Valencia, DDS

  • General Practice Dentistry
  • Greenwood, IN
  • NPI 1326131194
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154526101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424086",
            "telephone_number": "317-865-1010",
            "fax_number": "317-865-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424086",
            "telephone_number": "317-865-1010",
            "fax_number": "317-865-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ-ELENA VALENCIA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "LUZ-ELENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-865-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "774841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lumetra Healthcare Billing LLC
• Trinity Lux
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Kiara Marie Lynn
• Mac Medical Services LLC
• Alexis Macedo, DPT
• Robert P Maddox Jr., DC
• Madison Ave Dental LLC

• General Practice Dentistry in Greenwood, IN
• Providers in Greenwood, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.