NPIMap

Organization Active NPI

Morningstar Family Dental, LLC

  • Dental Clinic/Center
  • Los Lunas, NM
National Provider Identifier
1700362589
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DD1879 Issued in NM
Legal business name
MORNINGSTAR FAMILY DENTAL, LLC
Practice address
1005 Main St SW
Los Lunas, NM 87031-8310
Phone
(505) 865-9438
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Mary Ann Lucero, DDS
Title
Dentist
Phone
(505) 506-8659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DD1879 NM Primary

Addresses

Primary practice location

1005 Main St SW
Los Lunas, NM 87031-8310

Mailing address

1005 Main St SW
Los Lunas, NM 87031-8310
Phone (505) 865-9438

National Provider Directory

National Provider Directory

Locations

1005 Main St SW
Los Lunas, NM 87031
Phone (505) 865-9438

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1700362589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAIN ST SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318310",
            "telephone_number": "505-865-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAIN ST SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318310",
            "telephone_number": "505-865-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNINGSTAR FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "505-506-8659",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD1879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.