Individual provider Active NPI

Luna Taina Sanchez Rivera, MD

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1942584776
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.144029 Issued in OH
Practice address
700 E 1St St
Dayton, OH 45402-1303
Phone
(937) 641-4040
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.144029 OH Primary
Psychiatry Physician 2084P0800X 4323902 PR

Addresses

Primary practice location

700 E 1St St
Dayton, OH 45402-1303

Mailing address

1 Childrens PLZ
Dayton, OH 45404-1815
Phone (937) 641-5072

Other practice location 1

76 Remick Blvd
Springboro, OH 45066-9168
Phone (937) 641-4040

Other identifiers 1

IdentifierTypeStateIssuer
0476894MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME, NY, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170804002667 NC Practitioner - Psychiatry 4183995418 Reassigns benefits to 3 organizations
I20230912001830 ME Practitioner - Psychiatry 4183995418 Reassigns benefits to 2 organizations
I20240229002368 NY Practitioner - Psychiatry 4183995418 Reassigns benefits to 1 organization
I20240411000908 OH Practitioner - Psychiatry 4183995418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

254 Commercial St
Suite 245
Portland, ME 04101-4899
Phone (833) 351-8255

555 Fayetteville St
Suite 201
Raleigh, NC 27601-3034
Phone (833) 351-8255

9435 Waterstone Blvd
Suite 140
Cincinnati, OH 45249-8229
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4323902PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Medical Center Inc CurrentSince Oct 31, 2022 Accepting new patients
Acadia Hospital Corp CurrentSince Aug 6, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jan 22, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Sep 13, 2024 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Feb 19, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Sep 13, 2024 Accepting new patients
Watauga Medical Center, Inc. Psychiatry CurrentSince Oct 31, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 613-2977

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1942584776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041815",
            "telephone_number": "937-641-5072",
            "fax_number": "937-641-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 1ST ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021303",
            "telephone_number": "937-641-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Remick Blvd",
            "address_purpose": "LOCATION",
            "city": "Springboro",
            "state": "OH",
            "postal_code": "450669168",
            "country_code": "US",
            "telephone_number": "937-641-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ RIVERA",
        "first_name": "LUNA",
        "middle_name": "TAINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.144029",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "4323902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.