Luna Land Dental Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUNA LAND DENTAL CORP.

Doing business as

CLD - West St. Paul

Practice address

1399 Robert St S
West St Paul, MN 55118-3141

Phone

(651) 300-1230

Fax

(651) 300-1230

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Park

Title

Cfo

Phone

(651) 444-9644

Specialties & licenses 1

Addresses

Other names 1

• CLD - West St. Paul Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Semi Won, DDS

  • General Practice Dentistry
  • Saint Paul, MN
  • NPI 1134807779
  NPD (past)

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1598523771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183141",
            "telephone_number": "651-300-1230",
            "fax_number": "651-300-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 ROBERT ST S",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183141",
            "telephone_number": "651-300-1230",
            "fax_number": "651-300-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA LAND DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-444-9644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLD - West St. Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice C Lehman, MS, RN, PMHCNS-BC
• Kimberly Lorene Lester, MSW, LICSW
• Lifelong Dental Care
• Karina Lopez Martinez
• Lovingcare Nursing & Home Care Services, Inc.
• Peter Andrew Lynn, PH.D., L.P.
• Diana Joyce Madigan
• Rebecca Lynne Malan, MSW, LICSW, LCSW
• Terah Manderfeld, CCC-SLP
• Teresa Catherine Markes, MA, LP

• Dental Clinic/Center in West St Paul, MN
• Providers in West St Paul, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.