Lumine Dental Studio

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LUMINE DENTAL STUDIO

Practice address

102 Professional Park Dr
Victoria, TX 77904-2351

Phone

(361) 578-3544

NPI assigned

Jan 2, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Kaylea Ann Leita, DDS

Title

Dentist

Phone

(361) 782-8250

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thomas Robert Fordiani, DDS

  • General Practice Dentistry
  • Victoria, TX
  • NPI 1346357977
  NPD (past)

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1285590380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042351",
            "telephone_number": "361-578-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROFESSIONAL PARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042351",
            "telephone_number": "361-578-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "LEITA",
        "authorized_official_first_name": "KAYLEA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "361-782-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy J Lott, DDS
• Love One Another Homes LLC
• Luciano J Sarabosing Jr., MD, PA
• Amanda Catherine Luddeke
• Amber Ludtke, DO
• Herminia Salinas Lumley, PT
• Sebastian Luna Jr., MD
• Robert C Lyman, M.D.
• Charles Richard Mabray, M.D.
• Kylie Macha, OTR

• General Practice Dentistry in Victoria, TX
• Providers in Victoria, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.