Individual provider Active NPI

Luanna Zambrana Aviles

  • Periodontics
  • The Woodlands, TX
National Provider Identifier
1407396153
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
38267 Issued in TX
Practice address
10110 Woodlands Pkwy Ste 1000
The Woodlands, TX 77382-2927
Phone
(713) 576-5133
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 38267 TX Primary

Addresses

Primary practice location

10110 Woodlands Pkwy Ste 1000
The Woodlands, TX 77382-2927

Mailing address

10110 Woodlands Pkwy Ste 1000
The Woodlands, TX 77382-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210903002103 FL Order and Referring Only - DentistPractitioner - Dentist 5991101602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38267TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
SLS Periodontics PLLC Periodontics CurrentSince Feb 23, 2025 Accepting new patients

Locations

10110 Woodlands Pkwy
Ste 1000
The Woodlands, TX 77382
Phone (281) 419-4655

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1407396153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 WOODLANDS PKWY STE 1000",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 WOODLANDS PKWY STE 1000",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822927",
            "telephone_number": "713-576-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANA AVILES",
        "first_name": "LUANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "38267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.