Austin Daniel Lau, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10519 Issued in AZ

Practice address

10613 W Olive Ave Ste 201
Peoria, AZ 85345-7339

Phone

(623) 933-2145

Fax

(833) 415-0529

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 13, 2023 through Jun 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Foundations and Aesthetics

  • Dental Clinic/Center
  • Buckeye, AZ
  • NPI 1104757129
  NPD Authorized official
• Midwestern University

  dba Midwestern University Dental Institute

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1164744009
  NPD (past)
• Midwestern University

  dba Midwestern University Eye Institute

  • Optometrist
  • Glendale, AZ
  • NPI 1891017745
  NPD (past)
• Perfect Teeth - Olive P.C.

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1558482968
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1104310648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 W REDBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836255",
            "telephone_number": "405-923-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 W OLIVE AVE STE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457339",
            "telephone_number": "623-933-2145",
            "fax_number": "833-415-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "AUSTIN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203455",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "10519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maiya Lankford
• Daniel Louis Lara II, M.D.
• Agnes T Lardizabal, M.D.
• Colleen Renee Larson, SCHOOL PSYCHOLOGY
• Tricia A. Latiolait, P.A.-C
• Laura Gonzales, M.a., L.P.C., N.C.C., P.L.L.C.
• Deborah Kay Laverty, MSN, NP-C
• Loren Alexandra Lawrence, FNP-C
• LDJ Endodontics, LTD
• Jason Le

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.