NPIMap

Organization Active NPI

Luna Aesthetic Dentistry

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1972503522
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4645 Issued in AL
Legal business name
LUNA AESTHETIC DENTISTRY
Practice address
2949 John Hawkins Pkwy
Birmingham, AL 35244-1095
Phone
(205) 988-9700
Fax
(205) 988-4191
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edgar Alan Luna, DMD
Title
Owner
Phone
(205) 988-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4645 AL Primary

Addresses

Primary practice location

2949 John Hawkins Pkwy
Birmingham, AL 35244-1095

Mailing address

2949 John Hawkins Pkwy
Birmingham, AL 35244-1095
Phone (205) 988-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972503522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 JOHN HAWKINS PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441095",
            "telephone_number": "205-988-9700",
            "fax_number": "205-988-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 JOHN HAWKINS PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352441095",
            "telephone_number": "205-988-9700",
            "fax_number": "205-988-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA AESTHETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-988-9700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.