Individual provider Active NPI

Kathleen Lu, DDS

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1275274474
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18478 Issued in MD
Practice address
1286 E West Hwy
Silver Spring, MD 20910-3242
Phone
(301) 761-4489
NPI assigned
Apr 5, 2022
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 18478 MD Primary

Addresses

Primary practice location

1286 E West Hwy
Silver Spring, MD 20910-3242

Mailing address

6201 Baltimore Ave
Riverdale, MD 20737-1020
Phone (301) 927-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20251120001641 MD Order and Referring Only - DentistPractitioner - Dentist 5698267383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18478MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Silver Spring, LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

1286 E West Hwy
Silver Spring, MD 20910
Phone (301) 761-4489

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1275274474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BALTIMORE AVE",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371020",
            "telephone_number": "301-927-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 E WEST HWY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103242",
            "telephone_number": "301-761-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KATHLEEN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "18478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.