Organization Active NPI

Lunar Dental

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1972214831
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LUNAR DENTAL
Practice address
3151 Senter Rd Ste 220
San Jose, CA 95111-1370
Phone
(408) 660-0128
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Whitney DONPI 1548996507
Title
Owner
Phone
(408) 839-0662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3151 Senter Rd Ste 220
San Jose, CA 95111-1370

Mailing address

3151 Senter Rd Ste 220
San Jose, CA 95111-1370

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lunardentalgroup@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

3151 Senter Rd
Ste 220
San Jose, CA 95111
Phone (408) 660-0128

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1972214831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 SENTER RD STE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 SENTER RD STE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111370",
            "telephone_number": "408-660-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNAR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-839-0662"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lunardentalgroup@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3151 Senter Rd Ste 220",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951111370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.