Active NPI
Christian J Luzar, DMD
- Prosthodontics
- Rancho Mirage, CA
National Provider Identifier
1457782211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 46106
- Practice address
- 41-750 Rancho Las Palmas
Ste E1
Rancho Mirage, CA 92270 - Phone
- (760) 674-8881
- Fax
- (760) 674-8882
- NPI assigned
- Dec 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 46106 | CA | Primary |
Addresses
Primary practice location
41-750 Rancho Las Palmas
Ste E1
Rancho Mirage, CA 92270
Mailing address
41-750 Rancho Las Palmas
Ste E1
Rancho Mirage, CA 92270
Phone (760) 674-8881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 20, 2022 through Dec 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46106 | CA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386115200000",
"number": "1457782211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41-750 RANCHO LAS PALMAS",
"address_2": "STE E1",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-674-8881",
"fax_number": "760-674-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41-750 RANCHO LAS PALMAS",
"address_2": "STE E1",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-674-8881",
"fax_number": "760-674-8882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZAR",
"first_name": "CHRISTIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "46106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.