Individual provider Active NPI

Chung Hin Lau, D.D.S.

  • General Practice Dentistry
  • Oakland Gardens, NY
National Provider Identifier
1184056327
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056772 Issued in NY
Practice address
6721 214TH St
Oakland Gardens, NY 11364-2521
Phone
(347) 453-5767
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056772 NY Primary

Addresses

Primary practice location

6721 214TH St
Oakland Gardens, NY 11364-2521

Mailing address

6721 214TH St
Oakland Gardens, NY 11364-2521
Phone (347) 453-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150624002212 NY Order and Referring Only - DentistPractitioner - Dentist 6406167956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056772NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CH Lau Dentistry PC General Practice Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1184056327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 214TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642521",
            "telephone_number": "347-453-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 214TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642521",
            "telephone_number": "347-453-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "CHUNG HIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

Verify at the official NPI Registry.