Organization Active NPI

Luna Healthcare LLC

Doing business as Luna Family Hearing

  • Audiologist-Hearing Aid Fitter
  • Renton, WA
National Provider Identifier
1356650022
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
LUNA HEALTHCARE LLC
Doing business as
Luna Family Hearing
Practice address
17916 Talbot Rd S
Renton, WA 98055-7911
Phone
(425) 228-8880
Fax
(425) 277-5812
NPI assigned
Sep 29, 2010
Last updated
Aug 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
John R Luna
Title
Owner
Phone
(425) 358-0956

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU Primary
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

17916 Talbot Rd S
Renton, WA 98055-7911

Mailing address

PO Box 350
Maple Valley, WA 98038-0350
Phone (425) 358-0956

Other identifiers 1

IdentifierTypeStateIssuer
2009845MedicaidWA

Other names 1

  • Luna Family Hearing Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1356650022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980380350",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17916 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557911",
            "telephone_number": "425-228-8880",
            "fax_number": "425-277-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-358-0956"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009845",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Family Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.