David Tsunoyu Luo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22465 Issued in FL

Practice address

11841 Palm Beach Blvd Unit 115
Fort Myers, FL 33905-5914

Phone

(239) 694-7702

NPI assigned

Dec 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• David T Luo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1972787133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 MOSSY WAY CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053835",
            "telephone_number": "732-809-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11841 PALM BEACH BLVD UNIT 115",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055914",
            "telephone_number": "239-694-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "DAVID",
        "middle_name": "TSUNOYU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041650",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01431305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "LUO",
            "middle_name": "T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chrystal Luna
• Denise Elaine Luna, M.S.,C.C.C
• Claire Janice Lundgren, APRN
• Ryan Benton Lundquist, MD
• Jennifer Lunsford
• Tina H Luo, CAA
• Laci Jade Lusco, PA-C
• Jabari Lusk
• Kayla Luther, NP
• Lutheran Services Florida, Inc.

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.