Active NPI
Jordan Cornelio Luna, DDS
- Dentist
- Sunnyvale, TX
National Provider Identifier
1275945875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30002
- Practice address
- 192 S Collins Rd Ste 100
Sunnyvale, TX 75182-4634 - Phone
- (972) 226-6655
- NPI assigned
- May 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30002 | TX | Primary |
Addresses
Primary practice location
192 S Collins Rd Ste 100
Sunnyvale, TX 75182-4634
Mailing address
192 S Collins Rd Ste 100
Sunnyvale, TX 75182-4634
Phone (972) 226-6655
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30002 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stone Canyon Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Sunnyvale, TX
- NPI 1720531171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401408000000",
"number": "1275945875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 S COLLINS RD STE 100",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751824634",
"telephone_number": "972-226-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 S COLLINS RD STE 100",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751824634",
"telephone_number": "972-226-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "JORDAN",
"middle_name": "CORNELIO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-30",
"last_updated": "2014-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.