Individual provider Active NPI

Pearl Lai, DDS

  • Periodontics
  • Westminster, CO
National Provider Identifier
1184851925
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D9936 Issued in CO
Practice address
8501 Turnpike Dr
Suite 208
Westminster, CO 80031-7041
Phone
(719) 231-0728
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9936 CO
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D12915 MN
Periodontics 1223P0300X D9936 CO Primary

Addresses

Primary practice location

8501 Turnpike Dr
Suite 208
Westminster, CO 80031-7041

Mailing address

8501 Turnpike Dr
Suite 208
Westminster, CO 80031-7041
Phone (719) 231-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170111002089 CO Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5698943199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9936COMDGeneral Practice Dentistry
D9936COMDPeriodontist
D12915MNMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1184851925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR",
            "address_2": "SUITE 208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317041",
            "telephone_number": "719-231-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR",
            "address_2": "SUITE 208",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317041",
            "telephone_number": "719-231-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "PEARL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9936",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "D12915",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "D9936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.