Individual provider Active NPI

Joseph Allen Luan, D.M.D.

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1770013062
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9784 Issued in AZ
Practice address
1070 E Ray Rd Ste 7
Chandler, AZ 85225
Phone
(480) 792-6880
NPI assigned
Jun 19, 2017
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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 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

LicenseStateTypeSpecialty
D9784AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Luan LLC CurrentSince Feb 8, 2023 Accepting new patients
The Provinces Dental Care Past Accepting new patients
Provinces Dental Care LLC General Practice PastSince Mar 17, 2024 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.

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.

Verify at the official NPI Registry.