Tracy Lauren Lau

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2820 Issued in HI

Practice address

803 Kamehameha Hwy Ste 300
Pearl City, HI 96782-2638

Phone

(808) 456-8552

NPI assigned

Oct 25, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1154964724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 300",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-456-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 300",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-456-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-604 Nohoalii St",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967012709",
            "country_code": "US",
            "telephone_number": "808-554-8287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "TRACY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "2820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carie Kwan, D.C.
• Kallie Aloma-Peninaolemoana Langford, RN
• Michael Langford
• Brian KW Lau, DENTIST
• Kristen Lau
• Dan Rebb Leano
• Leeward Early Childhood Services Program
• Leeward Eye Care, Inc
• Leeward Eye Care, Inc.
• Legacy Medical Supply LLC

• General Practice Dentistry in Pearl City, HI
• Providers in Pearl City, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.