Individual provider Active NPI

Mingchung Lai, DDS

  • General Practice Dentistry
  • Diamond Bar, CA
National Provider Identifier
1265599336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30572 Issued in CA
Practice address
700 N Diamond Bar Blvd
Ste C
Diamond Bar, CA 91765-1060
Phone
(909) 860-7780
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30572 CA Primary

Addresses

Primary practice location

700 N Diamond Bar Blvd
Ste C
Diamond Bar, CA 91765-1060

Mailing address

700 N Diamond Bar Blvd
Ste C
Diamond Bar, CA 91765-1060
Phone (909) 860-7780

Other names 1

  • Dr. Lawrence Lai Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210723001459 CA Practitioner - Dentist 5890198162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wealth by Health Health Center CurrentSince Jan 15, 2023 Accepting new patients

Locations

3059 Del Mar Ave
Rosemead, CA 91770
Phone (888) 996-9985

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265599336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N DIAMOND BAR BLVD",
            "address_2": "STE C",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651060",
            "telephone_number": "909-860-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N DIAMOND BAR BLVD",
            "address_2": "STE C",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651060",
            "telephone_number": "909-860-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "MINGCHUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "LAI",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.