Organization Active NPI

Lam Family Dentistry

  • General Practice Dentistry
  • Plymouth, MN
National Provider Identifier
1063856359
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11901 Issued in MN
Legal business name
LAM FAMILY DENTISTRY
Practice address
28 Nathan LN N
Plymouth, MN 55441-6306
Phone
(763) 544-0270
Fax
(763) 544-0305
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Danh Lam, DDS
Title
President
Phone
(763) 742-2773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D11901 MN Primary

Addresses

Primary practice location

28 Nathan LN N
Plymouth, MN 55441-6306

Mailing address

28 Nathan LN N
Plymouth, MN 55441-6306
Phone (763) 544-0270

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1063856359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NATHAN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416306",
            "telephone_number": "763-544-0270",
            "fax_number": "763-544-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NATHAN LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554416306",
            "telephone_number": "763-544-0270",
            "fax_number": "763-544-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAM FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "DANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-742-2773",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.