Active NPI
Renato De Luna, DMD
- Pediatric Dentistry
- Boston, MA
National Provider Identifier
1992933725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DE60244473
- Practice address
- 1 Boston Medical Center Place
Boston Medical Center
Boston, MA 02118 - Phone
- (714) 803-9121
- NPI assigned
- Jul 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MA | MA | |
| Pediatric Dentistry | 1223P0221X | DE60244473 | WA | Primary |
Addresses
Primary practice location
1 Boston Medical Center Place
Boston Medical Center
Boston, MA 02118
Mailing address
160 Pleasant St
Apt 907
Malden, MA 02148-4832
Phone (714) 803-9121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60244473 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1992933725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 PLEASANT ST",
"address_2": "APT 907",
"city": "MALDEN",
"state": "MA",
"postal_code": "021484832",
"telephone_number": "714-803-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CENTER PLACE",
"address_2": "BOSTON MEDICAL CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "714-803-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LUNA",
"first_name": "RENATO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "MA",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "DE60244473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.