Jing Luo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10461 Issued in NC

Practice address

805 Spring Forest Rd Ste 1200
Raleigh, NC 27609-9112

Phone

(919) 876-6363

NPI assigned

Jul 13, 2016

Last updated

May 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Jing Luo, DDS, PLLC

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1821860180
  NPD Authorized official

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1306299433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SPRING FOREST RD STE 1200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099112",
            "telephone_number": "919-876-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SPRING FOREST RD STE 1200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276099112",
            "telephone_number": "919-876-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "JING",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis C Lungelow, PHYSICIAN ASSISTANT
• Leah Lunsford, MSW LCSWA
• Melissa Jennings Lunsford, NP-C
• Quanda Lunsford, LPCA, NCC
• Thomas Henry Lunsford, MD
• Suzanne Ware Luper, L.P.C.
• Samantha Joelle Lupton, AA-C
• Morgan Tyler Lusk, PA-C
• Salona Lutchminarain
• Janki Patel Luther, MD, MPH

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.