Valencia Luckman DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALENCIA LUCKMAN DDS INC

Practice address

3737 Moraga Ave
B206
San Diego, CA 92117-5404

Phone

(858) 273-0700

Fax

(858) 273-8679

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Valencia T Luckman, DENTISTNPI 1275888257

Title

Dentist/Owner

Phone

(858) 273-0700

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Valencia Tatania Luckman, D.O.

  • Dentist
  • San Diego, CA
  • NPI 1275888257
  NPD (past) Authorized official
• Victor Morris Israel, D.M.D.

  • Dentist
  • San Diego, CA
  • NPI 1417255886
  NPD (past)
• Marc Bowers, D.D.S.

  • General Practice Dentistry
  • Lake Charles, LA
  • NPI 1962604223
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1780061549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVENUE",
            "address_2": "B206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "858-273-0700",
            "fax_number": "858-273-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "B206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "telephone_number": "858-273-0700",
            "fax_number": "858-273-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA LUCKMAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "LUCKMAN",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "858-273-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Valdovinos
• Sergio Valdovinos
• Alexandria Marie Delmore Valdrighi, MD
• Ian Martin Vale Cruz, DMD
• Elisa Joy Vale, RN
• Ana A Valencia
• Antonio Valencia
• Armida Valencia, MFT
• Cinthia Valencia
• Clarisa Bella Valencia

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.