Organization Active NPI

Luxury Dental Spa PLLC

  • Dental Clinic/Center
  • Wyoming, MI
National Provider Identifier
1386521011
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUXURY DENTAL SPA PLLC
Practice address
551 28TH St SW Unit a
Wyoming, MI 49509-2968
Phone
(786) 597-2494
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Elizabeth Sanchez, DDSNPI 1669158143
Title
Dentist
Phone
(786) 597-2494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

551 28TH St SW Unit a
Wyoming, MI 49509-2968

Mailing address

551 28TH St SW Unit a
Wyoming, MI 49509-2968
Phone (786) 597-2494

National Provider Directory

National Provider Directory

Locations

551 28th St SW
Unit A
Wyoming, MI 49509
Phone (786) 597-2494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1386521011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 28TH ST SW UNIT A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092968",
            "telephone_number": "786-597-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 28TH ST SW UNIT A",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092968",
            "telephone_number": "786-597-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY DENTAL SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-597-2494",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.