Organization Active NPI

David Francisco Zegarra Dental Corporation

Doing business as Luna Family Dental

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1316321375
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35191 Issued in CA
Legal business name
DAVID FRANCISCO ZEGARRA DENTAL CORPORATION
Doing business as
Luna Family Dental
Practice address
1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218
Phone
(714) 550-0503
NPI assigned
Jul 18, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
David Franscisco Zegarra, DDS
Title
Dentist
Phone
(714) 550-0503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35191 CA Primary

Addresses

Primary practice location

1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218

Mailing address

1125 E 17TH St Ste E227
Santa Ana, CA 92701-2218
Phone (714) 550-0503

Other identifiers 1

IdentifierTypeStateIssuer
35191OtherCADENTIST

Other names 1

  • Luna Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1125 E 17th St
Ste E227
Santa Ana, CA 92701
Phone (714) 550-0503

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1316321375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E227",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-550-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE E227",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012218",
            "telephone_number": "714-550-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FRANCISCO ZEGARRA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "ZEGARRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANSCISCO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-550-0503",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "35191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.