Active NPI
Joseph Allen Luan, D.M.D.
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1770013062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D9784
- Practice address
- 1070 E Ray Rd Ste 7
Chandler, AZ 85225 - Phone
- (480) 792-6880
- NPI assigned
- Jun 19, 2017
- Last updated
- Aug 30, 2018
- Sex
- Male
- 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 | D9784 | AZ | Primary |
Addresses
Primary practice location
1070 E Ray Rd Ste 7
Chandler, AZ 85225
Mailing address
1070 E Ray Rd Ste 7
Chandler, AZ 85225-1772
Phone (480) 792-6880
Other practice location 1
14155 N 83rd Ave Ste 113
Peoria, AZ 85381-5655
Phone (480) 900-5937
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
| License | State | Type | Specialty |
|---|---|---|---|
| D9784 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luan LLC | Current | Accepting new patients | |
| The Provinces Dental Care | Past | Accepting new patients | |
| Provinces Dental Care LLC | General Practice | Past | Accepting new patients |
Locations
5151 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (480) 924-3446
Organizations & group practices 3
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.
-
dba The Provinces Dental
- General Practice Dentistry
- Chandler, AZ
- NPI 1871352773
-
- Dentist
- Chandler, AZ
- NPI 1699730135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1770013062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 E RAY RD STE 7",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852251772",
"telephone_number": "480-792-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 E RAY RD STE 7",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85225",
"telephone_number": "480-792-6880"
}
],
"practiceLocations": [
{
"address_1": "14155 N 83rd Ave Ste 113",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853815655",
"country_code": "US",
"telephone_number": "480-900-5937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUAN",
"first_name": "JOSEPH",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D9784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.