Individual provider Active NPI

Gilbert B Lam, DDS

  • Dentist
  • Visalia, CA
National Provider Identifier
1013133750
Registry record updated Jan 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51953 Issued in CA
Practice address
2136 N Dinuba Blvd
Ste a
Visalia, CA 93291-2011
Phone
(559) 625-1189
Fax
(559) 622-0530
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51953 CA Primary
General Practice Dentistry 1223G0001X 51953 CA

Addresses

Primary practice location

2136 N Dinuba Blvd
Ste a
Visalia, CA 93291-2011

Mailing address

2136 N Dinuba Blvd
Ste a
Visalia, CA 93291-2011
Phone (559) 625-1189

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451779200000",
    "number": "1013133750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 N DINUBA BLVD",
            "address_2": "STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932912011",
            "telephone_number": "559-625-1189",
            "fax_number": "559-622-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 N DINUBA BLVD",
            "address_2": "STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932912011",
            "telephone_number": "559-625-1189",
            "fax_number": "559-622-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "GILBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51953",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; 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.