Organization Active NPI

Myra C Luna DDS Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1871792093
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48238 Issued in CA
Legal business name
MYRA C LUNA DDS INC
Practice address
50 S Anaheim Blvd Ste 86
Anaheim, CA 92805-2907
Phone
(714) 774-7055
Fax
(714) 774-0255
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Dr. Myra Cantalejo Luna, DDS
Title
Dentist
Phone
(714) 774-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48238 CA Primary

Addresses

Primary practice location

50 S Anaheim Blvd Ste 86
Anaheim, CA 92805-2907

Mailing address

50 S Anaheim Blvd
Ste 86
Anaheim, CA 92805-2931
Phone (714) 774-7055

National Provider Directory

National Provider Directory

Locations

50 S Anaheim Blvd
Ste 86
Anaheim, CA 92805
Phone (714) 774-7055

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1871792093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S ANAHEIM BLVD",
            "address_2": "STE 86",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052931",
            "telephone_number": "714-774-7055",
            "fax_number": "714-774-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S ANAHEIM BLVD STE 86",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052907",
            "telephone_number": "714-774-7055",
            "fax_number": "714-774-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRA C LUNA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "CANTALEJO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-774-7055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.