Active NPI
Luna Healthcare LLC
- Audiologist-Hearing Aid Fitter
- Portland, OR
National Provider Identifier
1962712117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Legal business name
- LUNA HEALTHCARE LLC
- Practice address
- 2100 NE Broadway St
Ste 305
Portland, OR 97232-1569 - Phone
- (503) 236-3368
- Fax
- (503) 236-2877
- NPI assigned
- Oct 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Luna
- Title
- Owner
- Phone
- (425) 358-0956
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | |||
| Audiologist-Hearing Aid Fitter | 237600000X | Primary | ||
| Hearing Instrument Specialist | 237700000X |
Addresses
Primary practice location
2100 NE Broadway St
Ste 305
Portland, OR 97232-1569
Mailing address
PO Box 350
Maple Valley, WA 98038-0350
Phone (425) 358-0956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500663828 | Medicaid | OR |
Other names 1
- Luna Family Hearing
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470009600000",
"number": "1962712117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 350",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980380350",
"telephone_number": "425-358-0956",
"fax_number": "877-481-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NE BROADWAY ST",
"address_2": "STE 305",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321569",
"telephone_number": "503-236-3368",
"fax_number": "503-236-2877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-20",
"last_updated": "2016-08-01",
"status": "A",
"authorized_official_last_name": "LUNA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-358-0956"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500663828",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Luna Family Hearing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.