Individual provider Active NPI

Hilary A Luinstra, DDS

  • General Practice Dentistry
  • Avondale, AZ
National Provider Identifier
1750660718
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8307 Issued in AZ
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001923 AZ Order and Referring Only - DentistPractitioner - Dentist 5597046433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8307AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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

Verify at the official NPI Registry.