Active NPI
Luz O Cua, DMD MS PC
- Endodontics
- Northbrook, IL
National Provider Identifier
1659545432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Practice address
- 1535 Lake Cook Rd Ste 108
Northbrook, IL 60062-1450 - Phone
- (847) 564-3388
- Fax
- (847) 564-3382
- NPI assigned
- Apr 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | IL | Primary |
Addresses
Primary practice location
1535 Lake Cook Rd Ste 108
Northbrook, IL 60062-1450
Mailing address
1535 Lake Cook Rd Ste 108
Northbrook, IL 60062-1450
Phone (847) 564-3388
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021001461 | IL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1659545432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1535 LAKE COOK RD STE 108",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621450",
"telephone_number": "847-564-3388",
"fax_number": "847-564-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 LAKE COOK RD STE 108",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621450",
"telephone_number": "847-564-3388",
"fax_number": "847-564-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUA",
"first_name": "LUZ",
"middle_name": "O",
"credential": "DMD MS PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.