Active NPI
Lu Tian, DDS
- Dentist
- Napa, CA
National Provider Identifier
1003445057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106058
- Practice address
- 1141 Pear Tree LN Ste 120
Napa, CA 94558-6485 - Phone
- (707) 258-6128
- Fax
- (707) 254-1779
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 106058 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN Ste 120
Napa, CA 94558-6485
Mailing address
1141 Pear Tree LN Ste 120
Napa, CA 94558-6485
Phone (707) 258-6128
Other practice location 1
3393 G St Ste B
Merced, CA 95340-1001
Phone (209) 385-1479
Other practice location 2
2950 International Blvd
Oakland, CA 94601-2228
Phone (510) 535-4400
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
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEFGAA/Endpoint/GEFGAA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1003445057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 120",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485",
"telephone_number": "707-258-6128",
"fax_number": "707-254-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 120",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485",
"telephone_number": "707-258-6128",
"fax_number": "707-254-1779"
}
],
"practiceLocations": [
{
"address_1": "3393 G St Ste B",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953401001",
"country_code": "US",
"telephone_number": "209-385-1479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 International Blvd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946012228",
"country_code": "US",
"telephone_number": "510-535-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIAN",
"first_name": "LU",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.