Individual provider Active NPI

Vincent Luan, D.D.S.

  • Pediatric Dentistry
  • Richmond, TX
National Provider Identifier
1548459662
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21396 Issued in TX
Practice address
1601 Main St Ste 307
Richmond, TX 77469-3230
Phone
(281) 238-4746
Fax
(281) 763-2627
NPI assigned
Oct 15, 2007
Last updated
Oct 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 55851 CA
Pediatric Dentistry 1223P0221X 21396 TX Primary

Addresses

Primary practice location

1601 Main St Ste 307
Richmond, TX 77469-3230

Mailing address

1601 Main St Ste 307
Richmond, TX 77469-3230
Phone (281) 238-4746

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
21396TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Dentistry of Texas Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1548459662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 307",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "281-238-4746",
            "fax_number": "713-271-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAIN ST STE 307",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693230",
            "telephone_number": "281-238-4746",
            "fax_number": "281-763-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUAN",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55851",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.