Individual provider Active NPI

Mark A Luzania, D.D.S.

  • General Practice Dentistry
  • Reedley, CA
National Provider Identifier
1356449458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37133 Issued in CA
Practice address
1117 G St
Reedley, CA 93654-3003
Phone
(559) 638-1777
Fax
(559) 637-2332
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 37133 CA Primary

Addresses

Primary practice location

1117 G St
Reedley, CA 93654-3003

Mailing address

1117 G St
Reedley, CA 93654-3003
Phone (559) 638-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150713001192 CA Order and Referring Only - DentistPractitioner - Dentist 7214249705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37133CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356449458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 G ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936543003",
            "telephone_number": "559-638-1777",
            "fax_number": "559-637-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 G ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936543003",
            "telephone_number": "559-638-1777",
            "fax_number": "559-637-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZANIA",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.