Luminary Dermatology of Oklahoma, LLC
NPI 1730758541 · Dermatology Physician · Edmond, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luminary Dermatology of Oklahoma, LLC is a Dermatology Physician organization in Edmond, OK (NPI 1730758541).
Provider details
- NPI number
- 1730758541
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Phillips, Ceo(941) 302-4669
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2021-09-24
- Certified
- 2021-09-24
Frequently asked questions
- What is Luminary Dermatology of Oklahoma, LLC's NPI number?
- Luminary Dermatology of Oklahoma, LLC's National Provider Identifier (NPI) is 1730758541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Luminary Dermatology of Oklahoma, LLC?
- Luminary Dermatology of Oklahoma, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Luminary Dermatology of Oklahoma, LLC located?
- Luminary Dermatology of Oklahoma, LLC's practice location on file with NPPES is 1218 E 9th St Ste 1, Edmond, OK 73034-5796.
- What is Luminary Dermatology of Oklahoma, LLC's phone number?
- The practice phone number listed in the NPPES registry for Luminary Dermatology of Oklahoma, LLC is (405) 856-0020.
- Does Luminary Dermatology of Oklahoma, LLC accept Medicare?
- Luminary Dermatology of Oklahoma, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Luminary Dermatology of Oklahoma, LLC?
- The authorized official listed on Luminary Dermatology of Oklahoma, LLC's NPPES record is Jessica Phillips, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Luminary Dermatology of Oklahoma, LLC's NPI active?
- Yes — Luminary Dermatology of Oklahoma, LLC's NPI (1730758541) is active in the NPPES registry as of the last update on 2021-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.