Individual provider Active NPI

Laura M Acuna- Vinluan, DDS

  • Dentist
  • Stamford, CT
National Provider Identifier
1336775501
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13017 Issued in CT
Practice address
100 Greyrock PL Ste 116
Stamford, CT 06901-3113
Phone
(203) 348-0300
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13017 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

100 Greyrock PL Ste 116
Stamford, CT 06901-3113

Mailing address

198 North Rd
White Plains, NY 10603-2935
Phone (914) 282-5544

Other practice location 1

100 Main St Ste 201
White Plains, NY 10601-2614
Phone (914) 997-9000

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
13017CTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1336775501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NORTH RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032935",
            "telephone_number": "914-282-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREYROCK PL STE 116",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013113",
            "telephone_number": "203-348-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106012614",
            "country_code": "US",
            "telephone_number": "914-997-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACUNA- VINLUAN",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13017",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.