Individual provider Active NPI

Carol H Lam, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1073532594
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47507 Issued in CA
Practice address
626 Wilshire Blvd
Ste. 920
Los Angeles, CA 90017-3209
Phone
(213) 622-9159
Fax
(213) 622-1502
NPI assigned
Jul 18, 2006
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47507 CA Primary

Addresses

Primary practice location

626 Wilshire Blvd
Ste. 920
Los Angeles, CA 90017-3209

Mailing address

626 Wilshire Blvd
Ste. 920
Los Angeles, CA 90017-3209
Phone (213) 622-9159

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

State licenses

LicenseStateTypeSpecialty
47507CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1073532594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 WILSHIRE BLVD",
            "address_2": "STE. 920",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173209",
            "telephone_number": "213-622-9159",
            "fax_number": "213-622-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 WILSHIRE BLVD",
            "address_2": "STE. 920",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173209",
            "telephone_number": "213-622-9159",
            "fax_number": "213-622-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "CAROL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.