Lin Pyng Lu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44929 Issued in CA

Practice address

835 Saratoga Ave
San Jose, CA 95129-2331

Phone

(408) 207-8707

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1104955608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292331",
            "telephone_number": "408-207-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SARATOGA AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951292331",
            "telephone_number": "408-207-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47000 Warm Springs Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945397467",
            "country_code": "US",
            "telephone_number": "408-207-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "LIN PYNG",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "44929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiajie Lu
• Jodie Melina Lu
• Jonathan Hsijing Lu, MD, MS
• Kai-Fu Lu
• Lily Lu
• Matthew Yusong Lu, ED.S.
• Mike Weiting Lu, D.D.S
• Pauline Lu, D.D.S.
• Pei-Hua (Peggy) Lu, M.D.
• Timothy Lu

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.