Active NPI
Hilary A Luinstra, DDS
- General Practice Dentistry
- Avondale, AZ
National Provider Identifier
1750660718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8307
- Practice address
- 10210 W McDowell Rd
Suite 140
Avondale, AZ 85392-4842 - Phone
- (623) 873-0880
- Fax
- (623) 873-0881
- NPI assigned
- Aug 9, 2011
- Last updated
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8307 | AZ | Primary |
Addresses
Primary practice location
10210 W McDowell Rd
Suite 140
Avondale, AZ 85392-4842
Mailing address
3414 W Union Hills Dr
Ste 10
Phoenix, AZ 85027-4899
Phone (623) 434-0620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170106001923 | AZ | Order and Referring Only - Dentist | 5597046433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8307 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCP Az, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1750660718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 W UNION HILLS DR",
"address_2": "STE 10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274899",
"telephone_number": "623-434-0620",
"fax_number": "623-434-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 W MCDOWELL RD",
"address_2": "SUITE 140",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924842",
"telephone_number": "623-873-0880",
"fax_number": "623-873-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUINSTRA",
"first_name": "HILARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "8307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.