Phoebe Lai, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63869 Issued in CA

Practice address

1414 Fair Oaks Ave Ste 9
S Pasadena, CA 91030-6218

Phone

(626) 441-0899

NPI assigned

Jun 22, 2011

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Mrs. Phoebe Lai Cheng Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 15, 2022.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1013203520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 FAIR OAKS AVE STE 9",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910306218",
            "telephone_number": "626-441-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 FAIR OAKS AVE STE 9",
            "city": "S PASADENA",
            "state": "CA",
            "postal_code": "910306218",
            "telephone_number": "626-441-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "PHOEBE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHOEBE",
            "last_name": "LAI CHENG",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leticia M Guzman, RN
• Joyce Shuochun Kao, LAC
• Joy Hyejeong Kim
• Kristine Tatosyan-Jones MD Inc
• Grace Frances Lacovara
• James Y. Law, PHARM.D.
• Meng-Fey Ferra Lin-Duffy, DO
• Kimberly Suzanne Manzanares-Mora
• Pasha Mehrazar, DDS
• Miriam Mendez-Soto

• All providers in S Pasadena, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; 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.