Lumiere Cosmetic and Implant Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUMIERE COSMETIC AND IMPLANT DENTISTRY

Practice address

400 N Orlando Ave Ste 115
Maitland, FL 32751-4704

Phone

(407) 680-0790

NPI assigned

Jun 3, 2021

Organization subpart

Yes

Parent organization

M&M FAMILY AND COSMETIC DENTISTRY PAAs reported in NPPES

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

Authorized official

Name

Mehrshad Yousefi, DMDNPI 1689240632

Title

President

Phone

(407) 865-0987

Specialties & licenses 1

Addresses

Part of

Lumiere Cosmetic and Implant Dentistry

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• M Cosmetic and Family Dentistry, PA

  • General Practice Dentistry
  • Jupiter, FL
  • NPI 1942635693
  NPPES parent name

Practitioners 2

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

• Mehrshad Yousefi, DMD

  • Dentist
  • Orange City, FL
  • NPI 1689240632
  NPD Authorized official
• Marjan Mirkheshti, DMD

  • General Practice Dentistry
  • Deland, FL
  • NPI 1376038547
  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1699341156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 SLASH PINE PL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658467",
            "telephone_number": "407-865-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ORLANDO AVE STE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514704",
            "telephone_number": "407-680-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMIERE COSMETIC AND IMPLANT DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M&M FAMILY AND COSMETIC DENTISTRY PA",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "YOUSEFI",
        "authorized_official_first_name": "MEHRSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-865-0987",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lowery, MD
• Lloyd Lucas
• Miranda Lynn Lucchesse
• Eileen Ludwig, LCSW
• Erin Luginbuhl Burkholder, LMHC
• Mamie Khamalah Lumpkin- Gordon, LCSW
• Michelle (Shelley) A Lynch, PHD, LMHC
• Chunfeng Ma, O.D
• Melissa Madden Schlegel, MA, RMHCI
• Alba Cristina Madriz, LMHC

• Dental Clinic/Center in Maitland, FL
• Providers in Maitland, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.