Individual provider Active NPI

Luis Ernesto Santana Espeso, DMD

  • Dentist
  • Belleville, NJ
National Provider Identifier
1710726567
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI03035300 Issued in NJ
Practice address
165 Belmont Ave Apt 526
Belleville, NJ 07109-3766
Phone
(305) 834-9518
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI03035300 NJ Primary

Addresses

Primary practice location

165 Belmont Ave Apt 526
Belleville, NJ 07109-3766

Mailing address

165 Belmont Ave Apt 526
Belleville, NJ 07109-3766
Phone (305) 834-9518

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

State licenses

LicenseStateTypeSpecialty
22DI03035300NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1710726567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BELMONT AVE APT 526",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093766",
            "telephone_number": "305-834-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BELMONT AVE APT 526",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093766",
            "telephone_number": "305-834-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA ESPESO",
        "first_name": "LUIS",
        "middle_name": "ERNESTO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03035300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.