Individual provider Active NPI

Luz Molina, D.M.D,M.S.

  • Pediatric Dentistry
  • Scottsdale, AZ
National Provider Identifier
1194864884
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D011584 Issued in AZ
Practice address
8924 E Pinnacle Peak Rd Ste G5-454
Scottsdale, AZ 85255-3618
Phone
(775) 336-8545
NPI assigned
Feb 6, 2007
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2986 NV
Pediatric Dentistry 1223P0221X D011584 AZ Primary

Addresses

Primary practice location

8924 E Pinnacle Peak Rd Ste G5-454
Scottsdale, AZ 85255-3618

Mailing address

8924 E Pinnacle Peak Rd Ste G5-454
Scottsdale, AZ 85255-3618
Phone (775) 336-8545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118001511 CA Order and Referring Only - DentistPractitioner - Dentist 4486025079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D011584AZMDPediatric Dentist
2986NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lulu Molina Pediatric Dentist Pediatric Dentistry CurrentSince Jun 30, 2024 Accepting new patients
Pacific Dental Services Foundation PastSince Aug 24, 2019 Accepting new patients

Locations

9002 E Desert Cove Ave
Ste 100
Scottsdale, AZ 85260
Phone (480) 860-0008

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1194864884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 E PINNACLE PEAK RD STE G5-454",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553618",
            "telephone_number": "775-336-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 E PINNACLE PEAK RD STE G5-454",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553618",
            "telephone_number": "775-336-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "LUZ",
        "credential": "D.M.D,M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "2986",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D011584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.