Samuel Lu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19874 Issued in MA

Practice address

50 Holyoke St
Holyoke, MA 01040-2709

Phone

(413) 538-7400

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Xuesong Lu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Samuel Lu P.C.

  • General Practice Dentistry
  • Agawam, MA
  • NPI 1528849791
  NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235162124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MAGNOLIA CIR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062524",
            "telephone_number": "413-567-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOLYOKE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402709",
            "telephone_number": "413-538-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0299987",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "XUESONG",
            "last_name": "LU",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorenzi Health LLC
• Louis G. Petcu, M.D., P.C.
• Michaela R Louise, LMT
• Rachel Loulache, MS.ED, LABA
• Ilma Marina Lozano, LSWA-MSW.
• Michelle Mary Luciano
• Nelson Luciano Sr.
• Shania Anahe Lucret
• Jose Lugo Estrada, PSYD
• Claudia Isabel Lugo, MS

• General Practice Dentistry in Holyoke, MA
• Providers in Holyoke, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.