Organization Active NPI

Luma Dental PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1548432263
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039595 Issued in NY
Legal business name
LUMA DENTAL PC
Practice address
20 W 14TH St
New York, NY 10011-7501
Phone
(212) 989-5253
Fax
(212) 989-5263
NPI assigned
Apr 2, 2008
Organization subpart
Yes
Parent organization
NEW YORK DENTAL GROUP LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Neal K Fujishige, DDS
Title
Partner
Phone
(212) 989-5253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 039595 NY Primary

Addresses

Primary practice location

20 W 14TH St
New York, NY 10011-7501

Mailing address

20 W 14TH St
New York, NY 10011-7501
Phone (212) 989-5253

Other identifiers 1

IdentifierTypeStateIssuer
1508801838MedicaidNY

National Provider Directory

National Provider Directory

Locations

20 W 14th St
New York, NY 10011
Phone (212) 229-1470

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1548432263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117501",
            "telephone_number": "212-989-5253",
            "fax_number": "212-989-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 14TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117501",
            "telephone_number": "212-989-5253",
            "fax_number": "212-989-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMA DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK DENTAL GROUP LLP",
        "enumeration_date": "2008-04-02",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "FUJISHIGE",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "212-989-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508801838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.