Active NPI
Oscar Aldo Luna, D.D.S.
- Pediatric Dentistry
- Vienna, VA
National Provider Identifier
1477606465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401410972
- Practice address
- 410 Pine St SE
Suite # 100
Vienna, VA 22180-4861 - Phone
- (703) 938-1415
- Fax
- (703) 255-0295
- NPI assigned
- Jan 21, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401410972 | VA | Primary |
Addresses
Primary practice location
410 Pine St SE
Suite # 100
Vienna, VA 22180-4861
Mailing address
410 Pine St SE
Suite # 100
Vienna, VA 22180-4861
Phone (703) 938-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401410972 | VA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1477606465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 PINE ST SE",
"address_2": "SUITE # 100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804861",
"telephone_number": "703-938-1415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 PINE ST SE",
"address_2": "SUITE # 100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221804861",
"telephone_number": "703-938-1415",
"fax_number": "703-255-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "OSCAR",
"middle_name": "ALDO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401410972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.