NPIMap

Organization Active NPI

Tuan T. Ly DDS, Inc

  • Pediatric Dentistry
  • Escondido, CA
National Provider Identifier
1003254004
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
052343 Issued in NY
Legal business name
TUAN T. LY DDS, INC
Practice address
910 E Grand Ave
A
Escondido, CA 92025-3430
Phone
(760) 745-0593
Fax
(760) 745-0633
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Tuan T Ly, D.D.SNPI 1639362270
Title
Ceo
Phone
(760) 745-0593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 57169 CA
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 052343 NY Primary

Addresses

Primary practice location

910 E Grand Ave
A
Escondido, CA 92025-3430

Mailing address

910 E Grand Ave
A
Escondido, CA 92025-3430
Phone (760) 745-0593

National Provider Directory

National Provider Directory
Tax ID family
Ismiles Kids Dentistry and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

910 E Grand Ave
Ste A
Escondido, CA 92025
Phone (760) 745-0593

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": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1003254004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E GRAND AVE",
            "address_2": "A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253430",
            "telephone_number": "760-745-0593",
            "fax_number": "760-745-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E GRAND AVE",
            "address_2": "A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253430",
            "telephone_number": "760-745-0593",
            "fax_number": "760-745-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN T. LY DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-745-0593",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57169",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.