Active NPI
Juana E Luster DDS PC
- General Practice Dentistry
- Bklyn, NY
National Provider Identifier
1750558060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0462051
- Legal business name
- JUANA E LUSTER DDS PC
- Practice address
- 1376 East 15 St
Bklyn, NY 11230 - Phone
- (718) 339-3358
- Fax
- (718) 339-3358
- NPI assigned
- May 15, 2008
- Last updated
- May 15, 2008
- Organization subpart
- Yes
- Parent organization
- JUANA E LUSTER DDS PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juana E Luster, DDS
- Title
- Owner
- Phone
- (718) 339-3358
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0462051 | NY | Primary |
Addresses
Primary practice location
1376 East 15 St
Bklyn, NY 11230
Mailing address
1376 East 15 St
Bklyn, NY 11230
Phone (718) 339-3358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01668482 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Juana E Luster DDS PC
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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1093834848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1750558060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1376 EAST 15 ST",
"city": "BKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-339-3358",
"fax_number": "718-339-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1376 EAST 15 ST",
"city": "BKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "718-339-3358",
"fax_number": "718-339-3358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUANA E LUSTER DDS PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JUANA E LUSTER DDS PC",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "LUSTER",
"authorized_official_first_name": "JUANA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-339-3358",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "0462051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01668482",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.