Lumina Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LUMINA DENTAL LLC

Doing business as

Lumina Dental LLC

Practice address

1424 S Butterfield Rd
Mundelein, IL 60060-9424

Phone

(847) 407-1411

Fax

(847) 407-1412

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Pratik Patel

Title

Proprietor

Phone

(214) 606-3029

Specialties & licenses 1

Addresses

Other names 1

• Lumina Dental LLC Doing business as

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1730923764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 S BUTTERFIELD RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609424",
            "telephone_number": "847-407-1411",
            "fax_number": "847-407-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 S BUTTERFIELD RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609424",
            "telephone_number": "847-407-1411",
            "fax_number": "847-407-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRATIK",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "214-606-3029",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumina Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.