Active NPI
Matthew Luna, CST
- Surgical Technologist
- Dallas, TX
National Provider Identifier
1306126412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 113269
- Practice address
- 1441 N Beckley Ave
Dallas, TX 75203-1201 - Phone
- (214) 947-8181
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 113269 | TX | Primary |
Addresses
Primary practice location
1441 N Beckley Ave
Dallas, TX 75203-1201
Mailing address
PO Box 223884
Dallas, TX 75222-3884
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 |
|---|---|---|---|
| 113269 | TX | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1306126412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223884",
"city": "DALLAS",
"state": "TX",
"postal_code": "752223884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N BECKLEY AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031201",
"telephone_number": "214-947-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "MATTHEW",
"credential": "CST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "113269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.