Lux Avondale Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D06416 Issued in AZ

Legal business name

LUX AVONDALE INC.

Practice address

10320 W McDowell Rd
BLD a Suite 1001
Avondale, AZ 85392-4863

Phone

(623) 243-9610

Fax

(623) 249-6267

NPI assigned

Nov 4, 2015

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Salvatore Perna, DDS

Title

Dentist

Phone

(623) 243-9610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1598138190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLD A SUITE 1001",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-243-9610",
            "fax_number": "623-249-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "BLD A SUITE 1001",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-243-9610",
            "fax_number": "623-249-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX AVONDALE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "PERNA",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-243-9610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D06416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lundgren
• Tamara Lurry
• Haley Shyanne Lurten
• Michelle Marie Lusk, SLPA
• Madison Lussier
• Maxwell Steven Lyle
• Douglas Lynch, DC
• Julie Anne Lynch, MED
• Kelsie Lyons
• Samantha Levonne Lyons

• Dental Clinic/Center in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.