Luminous Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUMINOUS DENTAL LLC

Practice address

63 Mount Auburn St
Watertown, MA 02472-3924

Phone

(617) 923-8159

NPI assigned

Jan 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Shari Mathew, DDS

Title

Dentist

Phone

(781) 640-9810

Specialties & licenses 1

Addresses

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.

• Edward W Donle, D.M.D.

  • General Practice Dentistry
  • Watertown, MA
  • NPI 1912929001
  NPD (past)

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1487118188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723924",
            "telephone_number": "617-923-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723924",
            "telephone_number": "617-923-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-640-9810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ornella Lozier
• Elizabeth Lubelczyk, PHARMD
• Fenway Lubiak
• John Lucas, RN, BSN
• Rebecca Quinn Lukaszek, BCBA
• Christina Ellen Lupica
• Lindsey Lush
• Luxottica of America Inc. (Target Optical #9710)
• Victoria Luzarraga, RPT
• Leslie Macdonald, MD

• Dental Clinic/Center in Watertown, MA
• Providers in Watertown, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.