Lulu'S Dental Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LULU'S DENTAL INC

Practice address

2130 Ralston Ave Ste 1B
Belmont, CA 94002-1664

Phone

(650) 591-4408

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Nadia Barakat, DDSNPI 1497400899

Title

President

Phone

(805) 233-0184

Specialties & licenses 1

Addresses

Other names 1

• Ralston Pediatric Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nadia Barakat, DDS

  • Pediatric Dentistry
  • Belmont, CA
  • NPI 1497400899
  NPD Authorized official

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1093597189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 PINE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 RALSTON AVE STE 1B",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021664",
            "telephone_number": "650-591-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LULU'S DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-233-0184",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralston Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Lingad, D.D.S
• Jeff Lintner, MFT, CEAP
• Nina Momoko Lippey, DO
• Toris Keith Louie
• Paul Hamilton Lucich, LMFT
• Julie C Lung, L.AC.
• M.K.Le Professional Dental Corporation
• Vanessa F Maass
• Lynda Ann Mackin, NP
• Dianne Madison

• Pediatric Dentistry in Belmont, CA
• Providers in Belmont, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.