Organization Active NPI

Lumina Dentalof Brandon, PA

  • Dental Clinic/Center
  • Brandon, FL
National Provider Identifier
1982242111
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUMINA DENTALOF BRANDON, PA
Practice address
225 Brandon Town Center Dr
Brandon, FL 33511-4728
Phone
(813) 381-5858
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Sylvia Miller
Title
Insurance Coordinator
Phone
(321) 431-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

225 Brandon Town Center Dr
Brandon, FL 33511-4728

Mailing address

225 Brandon Town Center Dr
Brandon, FL 33511-4728
Phone (813) 381-5858

Other names 1

  • LUMINA DENTAL OF BRANDON Doing business as

National Provider Directory

National Provider Directory

Locations

225 Brandon Town Center Dr
Brandon, FL 33511
Phone (813) 381-5858

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": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1982242111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BRANDON TOWN CENTER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114728",
            "telephone_number": "813-381-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BRANDON TOWN CENTER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114728",
            "telephone_number": "813-381-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA DENTALOF BRANDON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "321-431-2208"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUMINA DENTAL OF BRANDON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.