NPIMap

Organization Active NPI

Nhien Luu, D.D.S., Inc.

  • General Practice Dentistry
  • Hesperia, CA
National Provider Identifier
1255667382
Registry record updated Oct 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48826 Issued in CA
Legal business name
NHIEN LUU, D.D.S., INC.
Practice address
14466 Main St
Suite B107
Hesperia, CA 92345-4664
Phone
(760) 949-7274
Fax
(760) 949-9515
NPI assigned
Oct 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2009

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

Authorized official

Name
Dr. Nhien T Luu, D.D.S.
Title
President
Phone
(760) 949-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48826 CA Primary

Addresses

Primary practice location

14466 Main St
Suite B107
Hesperia, CA 92345-4664

Mailing address

14466 Main St
Suite B107
Hesperia, CA 92345-4664
Phone (760) 949-7274

Other identifiers 1

IdentifierTypeStateIssuer
1104080167OtherCAINDIVIDUAL NPI

Other names 1

  • Maple Dental Doing business as

National Provider Directory

National Provider Directory

Locations

14466 Main St
Ste B107
Hesperia, CA 92345
Phone (760) 949-7274

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": "1256342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256342400000",
    "number": "1255667382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14466 MAIN ST",
            "address_2": "SUITE B107",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454664",
            "telephone_number": "760-949-7274",
            "fax_number": "760-949-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14466 MAIN ST",
            "address_2": "SUITE B107",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454664",
            "telephone_number": "760-949-7274",
            "fax_number": "760-949-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHIEN LUU, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-24",
        "last_updated": "2009-10-24",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "NHIEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-949-7274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1104080167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

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