Luis Fernando Delima Jr., D.D.S., F.A.C.P.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

S46 Issued in MN

Practice address

6545 France Ave S Ste 680
Edina, MN 55435-2127

Phone

(952) 922-5326

Fax

(952) 922-5367

NPI assigned

Aug 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Advanced Reconstructive Dentistry PLLC

  • Prosthodontics
  • Edina, MN
  • NPI 1700589264
  NPD Authorized official
• Prosthodontic Associates, PLLC

  • Dental Clinic/Center
  • Roseville, MN
  • NPI 1164956694
  NPD (past)
• Regents of the University of Minnesota

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1114019858
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1598997967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE 680",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352127",
            "telephone_number": "952-922-5326",
            "fax_number": "952-922-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S STE 680",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352127",
            "telephone_number": "952-922-5326",
            "fax_number": "952-922-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIMA",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., F.A.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "S46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Degraff
• Scott David Degregorio, M.D.
• Melanie A Dehart, M.D.
• Dennis Dejesus, MD
• Dawn Nichelle Delavallade, MD
• Theresa Anne Demarco, MD
• John J Demars, MDA
• Elicia Faith Dembele, NP
• Denise H. Bisanz, P.a.
• Kristina Dennen

• Prosthodontics in Edina, MN
• Providers in Edina, MN by specialty
• Prosthodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.