Mark Alan Luban, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

29358 Issued in CA

Practice address

17156 El Vuelo
1872
Rancho Santa Fe, CA 92067-1872

Phone

(858) 395-3381

Fax

(858) 756-3377

NPI assigned

Dec 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1508002353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1872",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920671872",
            "telephone_number": "858-395-3381",
            "fax_number": "858-756-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17156 EL VUELO",
            "address_2": "1872",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920671872",
            "telephone_number": "858-395-3381",
            "fax_number": "858-756-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBAN",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-29",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "29358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.