Individual provider Active NPI

Dolores Luque, DMD

  • General Practice Dentistry
  • Fort Irwin, CA
National Provider Identifier
1346291663
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051029-1 Issued in NY
Practice address
Building 171, 4TH & Inner Loop Rd
Fort Irwin, CA 92310-5076
Phone
(760) 380-5733
Fax
(760) 380-4996
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 051029-1 NY Primary

Addresses

Primary practice location

Building 171, 4TH & Inner Loop Rd
Fort Irwin, CA 92310-5076

Mailing address

Building 171, 4TH & Inner Loop Rd
Fort Irwin, CA 92310-5076
Phone (760) 380-5733

Other names 1

  • Mrs. Marin Dolores Wuilleumier Other name

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
051029-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346291663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 171, 4TH & INNER LOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105076",
            "telephone_number": "760-380-5733",
            "fax_number": "760-380-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 171, 4TH & INNER LOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923105076",
            "telephone_number": "760-380-5733",
            "fax_number": "760-380-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUQUE",
        "first_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051029-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIN",
            "last_name": "WUILLEUMIER",
            "middle_name": "DOLORES",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Irwin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.