Charles C Lu, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

054716 Issued in NY

Practice address

837 58TH St
6TH Floor
Brooklyn, NY 11220-3662

Phone

(718) 686-9888

Fax

(718) 626-9889

NPI assigned

Aug 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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.

• Charles Lu DDS PC

  • Dentist
  • Brooklyn, NY
  • NPI 1366816050
  NPD (past) Authorized official
• Brilliant Dental, PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1598993610
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1245487313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 58TH ST",
            "address_2": "6TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-9888",
            "fax_number": "718-626-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 58TH ST",
            "address_2": "6TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-9888",
            "fax_number": "718-626-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lu
• Angela Aiyan Lu, NP
• Biao Lu
• Bing Lu, MD
• Calvin Lu, PA-C
• Chuanyong Lu, MD
• Francis Kevin Lu
• Haiyan Lu
• Huiling Lu, RN
• Janice Zhimin Lu, M.A., CCC-SLP

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.