Simone Vieira de Moraes de Luna, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0133885 Issued in VT

Practice address

856 US Route 302 Unit a
Barre, VT 05641-2301

Phone

(802) 433-3398

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1629540885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "RICHMOND",
            "state": "VT",
            "postal_code": "054770517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 US ROUTE 302 UNIT A",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056412301",
            "telephone_number": "802-433-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA DE MORAES DE LUNA",
        "first_name": "SIMONE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0133885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Valenta, HS
• Richard Scott Venmar
• Vermont Adult Primary Care
• Vermont CVS Pharmacy LLC (CVS Pharmacy # 10127)
• Vermont Dental Care
• Anh Vo, RPH
• Vorces Elder Care (Granite City Residential)
• Walgreen Co (Walgreens #17518)
• Trevor Walker-Clayton
• Aaron Michael Wallace, MD

• General Practice Dentistry in Barre, VT
• Providers in Barre, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.