Organization Active NPI

John Lu DDS PC

Doing business as Bella Terra Dental

  • General Practice Dentistry
  • Lodi, CA
National Provider Identifier
1043189384
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN LU DDS PC
Doing business as
Bella Terra Dental
Practice address
1110 W Kettleman LN Ste 47
Lodi, CA 95240-6048
Phone
(209) 224-8104
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
John Lu, DDSNPI 1801290291
Title
Ceo
Phone
(209) 224-8104

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1110 W Kettleman LN Ste 47
Lodi, CA 95240-6048

Mailing address

1110 W Kettleman LN Ste 47
Lodi, CA 95240-6048
Phone (209) 224-8104

Other names 1

  • Bella Terra Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1110 W Kettleman Ln
Ste 47
Lodi, CA 95240
Phone (209) 224-8104

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": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1043189384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W KETTLEMAN LN STE 47",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406048",
            "telephone_number": "209-224-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W KETTLEMAN LN STE 47",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406048",
            "telephone_number": "209-224-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-224-8104",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Terra Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.