Individual provider Active NPI

Luma Ajlouni, DDS

  • General Practice Dentistry
  • Gilroy, CA
National Provider Identifier
1245536804
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58660 Issued in CA
Practice address
7880 Wren Ave Ste B125
Gilroy, CA 95020-7801
Phone
(408) 842-2818
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58660C CA
General Practice Dentistry 1223G0001X 58660 CA Primary

Addresses

Primary practice location

7880 Wren Ave Ste B125
Gilroy, CA 95020-7801

Mailing address

7880 Wren Ave Ste B125
Gilroy, CA 95020-7801
Phone (408) 842-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58660CCAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1245536804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE B125",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207801",
            "telephone_number": "408-842-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE STE B125",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207801",
            "telephone_number": "408-842-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJLOUNI",
        "first_name": "LUMA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58660C",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.