Luis Enrique Medina Torres, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D011703 Issued in AZ

Practice address

4141 N 32ND St Ste 100
Phoenix, AZ 85018-4775

Phone

(602) 404-3800

NPI assigned

May 2, 2018

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Luis Enrique Medina-Torres Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• North Valley Endodontics, P.a.

  dba Valley Endodontic Specialty Group

  • Endodontics
  • Phoenix, AZ
  • NPI 1659308641
  NPD

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1235628538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 E INDIAN BEND RD STE 128",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504820",
            "telephone_number": "602-482-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N 32ND ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850184775",
            "telephone_number": "602-404-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA TORRES",
        "first_name": "LUIS",
        "middle_name": "ENRIQUE",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D011703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "MEDINA-TORRES",
            "middle_name": "ENRIQUE",
            "credential": "DMD, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jazmin Leilany Medina Aispuro
• Roxana Ofelia Medina Estrada, NP
• Marilyn Medina Gonzalez
• Medina MD PC
• Raul Ivan Medina Sicre, M.D.
• Julianna Medina Vazquez
• Alberto Segundo Medina, PA
• Andrew D Medina, LCSW
• Cory A Medina
• Destiny Medina

• Endodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.