David Francisco Zegarra Dental Practice Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

35191 Issued in CA

Legal business name

DAVID FRANCISCO ZEGARRA DENTAL PRACTICE CORPORATION

Doing business as

Luna Family Dental Practice of Dr.David Francisco Zegarra

Practice address

18790 Valley Blvd
Suite #D
Bloomington, CA 92316-2241

Phone

(909) 873-5066

Fax

(909) 873-9716

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Francisco Zegarra, DDS

Title

Dentist

Phone

(909) 873-5066

Specialties & licenses 1

Addresses

Other names 1

• Luna Family Dental Practice of Dr.David Francisco Zegarra Doing business as

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1790137594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18790 VALLEY BLVD",
            "address_2": "SUITE #D",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162241",
            "telephone_number": "909-873-5066",
            "fax_number": "909-873-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18790 VALLEY BLVD",
            "address_2": "SUITE #D",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923162241",
            "telephone_number": "909-873-5066",
            "fax_number": "909-873-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FRANCISCO ZEGARRA DENTAL PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "ZEGARRA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-873-5066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luna Family Dental Practice of Dr.David Francisco Zegarra",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Contreras
• Deirdre Cooney
• Natasha Cromwell
• Sandra Cuevas
• D H Kim Dental Corporation
• Jeffrey Allen Davidson, DDS
• Linda Davis-Lane
• Tamsen Debois
• Steven Devote
• Valerie Diaz

• Dentist in Bloomington, CA
• Providers in Bloomington, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.