NPIMap

Organization Active NPI

Nancy Nga Luu DDS Inc

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1235382003
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48953 Issued in CA
Legal business name
NANCY NGA LUU DDS INC
Practice address
9641 E Stockton Blvd
Elk Grove, CA 95624-2564
Phone
(916) 686-8626
Fax
(916) 686-8634
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Dr. Nancy Nga Thi Luu, D.D.S.
Title
President
Phone
(916) 686-8626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 48953 CA Primary

Addresses

Primary practice location

9641 E Stockton Blvd
Elk Grove, CA 95624-2564

Mailing address

9641 E Stockton Blvd
Elk Grove, CA 95624-2564
Phone (916) 686-8626

National Provider Directory

National Provider Directory
Tax ID family
Nancy Nga Luu DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1235382003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 E STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242564",
            "telephone_number": "916-686-8626",
            "fax_number": "916-686-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9641 E STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242564",
            "telephone_number": "916-686-8626",
            "fax_number": "916-686-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY NGA LUU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "NANCY NGA",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-686-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.