Active NPI
David Eliseo Luna Jr., DDS
- General Practice Dentistry
- San Antonio, TX
National Provider Identifier
1568564151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14537
- Practice address
- 1203 S Presa St
San Antonio, TX 78210-1348 - Phone
- (210) 533-0000
- Fax
- (210) 533-0594
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14537 | TX | Primary |
Addresses
Primary practice location
1203 S Presa St
San Antonio, TX 78210-1348
Mailing address
1203 S Presa St
San Antonio, TX 78210-1348
Phone (210) 533-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14537 | Other | TX | LICENSE NUMBER |
| 866188 | Other | TX | UNITED CONCORDIA NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14537 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568564151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 S PRESA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782101348",
"telephone_number": "210-533-0000",
"fax_number": "210-533-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 S PRESA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782101348",
"telephone_number": "210-533-0000",
"fax_number": "210-533-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "DAVID",
"middle_name": "ELISEO",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "14537",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA NUMBER",
"identifier": "866188",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.