Individual provider Active NPI

Luz Janeth Hernandez, DDS

  • General Practice Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1336138429
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17677 Issued in FL
Practice address
27650 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6957
Phone
(813) 903-8888
Fax
(877) 797-4054
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17677 FL Primary

Addresses

Primary practice location

27650 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6957

Mailing address

27650 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6957
Phone (813) 903-8888

Other identifiers 1

IdentifierTypeStateIssuer
02681487MedicaidNY

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

LicenseStateTypeSpecialty
17677FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1336138429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27650 CASHFORD CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446957",
            "telephone_number": "813-903-8888",
            "fax_number": "877-797-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27650 CASHFORD CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446957",
            "telephone_number": "813-903-8888",
            "fax_number": "877-797-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LUZ",
        "middle_name": "JANETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02681487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

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

Verify at the official NPI Registry.