Individual provider Active NPI

Antonio G Lugay Jr., DDS

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1508024316
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4983 Issued in AZ
Practice address
7835 E Gelding Dr
Suite F
Scottsdale, AZ 85260-2996
Phone
(480) 315-9140
Fax
(480) 348-5824
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4983 AZ Primary

Addresses

Primary practice location

7835 E Gelding Dr
Suite F
Scottsdale, AZ 85260-2996

Mailing address

7835 E Gelding Dr
Suite F
Scottsdale, AZ 85260-2996
Phone (480) 315-9140

Other identifiers 1

IdentifierTypeStateIssuer
18057OtherAZUNITED CONCORDIA

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

LicenseStateTypeSpecialty
4983AZMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1508024316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 E GELDING DR",
            "address_2": "SUITE F",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602996",
            "telephone_number": "480-315-9140",
            "fax_number": "480-348-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 E GELDING DR",
            "address_2": "SUITE F",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602996",
            "telephone_number": "480-315-9140",
            "fax_number": "480-348-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGAY",
        "first_name": "ANTONIO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "18057",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.