Active NPI
Peter H Lam, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Mateo, CA
National Provider Identifier
1083752596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 42927
- Practice address
- 3455 Pacific Blvd Ste 1
San Mateo, CA 94403-2836 - Phone
- (650) 638-1500
- Fax
- (650) 638-1511
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 42927 | CA | Primary |
Addresses
Primary practice location
3455 Pacific Blvd Ste 1
San Mateo, CA 94403-2836
Mailing address
48 Lake Meadow Dr
Daly City, CA 94015-3538
Phone (650) 997-0537
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter H Lam DDS Inc | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Mateo, CA
- NPI 1447447842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1083752596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 LAKE MEADOW DR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940153538",
"telephone_number": "650-997-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 PACIFIC BLVD STE 1",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032836",
"telephone_number": "650-638-1500",
"fax_number": "650-638-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "PETER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "42927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.