NPIMap

Organization Active NPI

Michael L Luther D.D.S Inc

Doing business as Moreno Valley Braces

  • Dental Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1700374741
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23125 Issued in CA
Legal business name
MICHAEL L LUTHER D.D.S INC
Doing business as
Michael L Luther D.D.S INC
Moreno Valley Braces
Practice address
24104 Sunnymead Blvd Ste C
Moreno Valley, CA 92553-7732
Phone
(951) 242-0779
Fax
(951) 242-7666
NPI assigned
Apr 25, 2018
Last updated
Oct 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mr. Michael L Luther, D.D.S , M.P.H
Title
Owner Orthodontist
Phone
(951) 242-0779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23125 CA Primary

Addresses

Primary practice location

24104 Sunnymead Blvd Ste C
Moreno Valley, CA 92553-7732

Mailing address

24104 Sunnymead Blvd Ste C
Moreno Valley, CA 92553-7732
Phone (951) 242-0779

Other names 2

  • Michael L Luther D.D.S INC Doing business as
  • Moreno Valley Braces Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1700374741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24104 SUNNYMEAD BLVD STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537732",
            "telephone_number": "951-242-0779",
            "fax_number": "951-242-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24104 SUNNYMEAD BLVD STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537732",
            "telephone_number": "951-242-0779",
            "fax_number": "951-242-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L LUTHER D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER ORTHODONTIST",
        "authorized_official_telephone_number": "951-242-0779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S , M.P.H"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "23125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael L Luther D.D.S INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moreno Valley Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.