Peter Luu DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55933 Issued in CA

Legal business name

PETER LUU DDS INC

Doing business as

Canyon City Dental

Practice address

706 N Azusa Ave
Azusa, CA 91702-2507

Phone

(626) 334-7310

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By 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, D.D.S.NPI 1104016419

Title

President

Phone

(626) 334-7310

Specialties & licenses 1

Addresses

Other names 1

• Canyon City Dental Doing business as

Practitioners 2

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.

• Peter Luu, D.D.S.

  • General Practice Dentistry
  • Azusa, CA
  • NPI 1104016419
  Authorized official Same address or phone
• Enoma Alade, DDS MPH

  • Dentist
  • Azusa, CA
  • NPI 1831207240
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1245631191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022507",
            "telephone_number": "626-334-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LUU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-334-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystle Peguero
• Rocio Peralta
• Holly Marie Peraza, MSN, FNP-C
• Rocio Perez
• Charlotte Ellen Denight Perfecto
• Christine Ann Pfaffl, AMFT 95355
• Jonhny Pham, PT, DPT
• Kevin Pham, PHARMACIST
• Lisa Phan, PHARMD
• Phuoc Huu Nguyen, MD, Inc.

• General Practice Dentistry in Azusa, CA
• Providers in Azusa, 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 Sep 10, 2014; 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.