Chan, Chan, Chen & Luu, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55933 Issued in CA

Legal business name

CHAN, CHAN, CHEN & LUU, DDS, INC.

Doing business as

Fairgrove Family Dentistry

Practice address

15260 Fairgrove Ave
La Puente, CA 91744-1067

Phone

(626) 968-4733

NPI assigned

Oct 12, 2009

Last updated

Nov 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Luu, DDS

Title

President

Phone

(626) 236-6659

Specialties & licenses 1

Addresses

Other names 1

• Fairgrove Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duc Minh Doan, D.D.S.

  • Dentist
  • La Puente, CA
  • NPI 1316079809
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1184959967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 FAIRGROVE AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441067",
            "telephone_number": "626-968-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN, CHAN, CHEN & LUU, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-236-6659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairgrove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Castillo, PA
• Kevin Edgar Cazares, PPS
• Marlene Ceja Coronado
• Jennie Ceniceros
• Central City Community Health Center Inc
• Kingman Chan
• Chanukya Dasari MD a Professional Corporation
• Eloisa Chavez
• Che Investment Enterprises Inc (Clinica Medica San Pedro La Puente)
• Peter Chen

• General Practice Dentistry in La Puente, CA
• Providers in La Puente, 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 Nov 9, 2009; 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.