Individual provider Active NPI

Lei Fu, D.D.S

  • Dentist
  • Colleyville, TX
National Provider Identifier
1164969747
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35791 Issued in TX
Practice address
3855 Glade Rd Ste 150
Colleyville, TX 76034-4814
Phone
(406) 800-1196
NPI assigned
Jan 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35791 TX Primary

Addresses

Primary practice location

3855 Glade Rd Ste 150
Colleyville, TX 76034-4814

Mailing address

1136 Wales Dr
Keller, TX 76248-5700
Phone (504) 284-8829

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

LicenseStateTypeSpecialty
35791TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lei Fu DDS LLC Dentist CurrentSince Nov 1, 2022 Accepting new patients

Locations

3855 Glade Rd
Ste 150
Colleyville, TX 76034
Phone (406) 800-1196

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.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1164969747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 WALES DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485700",
            "telephone_number": "504-284-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 GLADE RD STE 150",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344814",
            "telephone_number": "406-800-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "LEI",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.