NPIMap

Organization Active NPI

Luminant Dental LLC

  • General Practice Dentistry
  • Highland, IN
National Provider Identifier
1699652677
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUMINANT DENTAL LLC
Practice address
9013 Indianapolis Blvd
Highland, IN 46322-2502
Phone
(574) 208-5020
NPI assigned
Aug 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Ahmad HasanNPI 1952929424
Title
Owner
Phone
(708) 567-8610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9013 Indianapolis Blvd
Highland, IN 46322-2502

Mailing address

9013 Indianapolis Blvd
Highland, IN 46322-2502
Phone (574) 208-5020

National Provider Directory

National Provider Directory

Locations

9013 Indianapolis Blvd
Highland, IN 46322
Phone (574) 208-5020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1699652677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222502",
            "telephone_number": "574-208-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222502",
            "telephone_number": "574-208-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINANT DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-567-8610"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.