Active NPI
Lu Tang, DDS
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1083788566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44100
- Practice address
- 2230 Story Rd
Suite 20
San Jose, CA 95122-1054 - Phone
- (408) 928-6000
- Fax
- (408) 928-6008
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44100 | CA | Primary |
Addresses
Primary practice location
2230 Story Rd
Suite 20
San Jose, CA 95122-1054
Mailing address
2230 Story Rd
Suite 20
San Jose, CA 95122-1054
Phone (408) 928-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B44100 | Other | CA | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44100 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lu Tang DDS Inc Dba Lucky Dental | 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.
-
- Dentist
- San Jose, CA
- NPI 1033384573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1083788566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 STORY RD",
"address_2": "SUITE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221054",
"telephone_number": "408-928-6000",
"fax_number": "408-928-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 STORY RD",
"address_2": "SUITE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221054",
"telephone_number": "408-928-6000",
"fax_number": "408-928-6008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "LU",
"name_prefix": "Ms.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA",
"identifier": "B44100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.