Individual provider Active NPI

Lal Lawm Thanga, D.D.S.

  • General Practice Dentistry
  • Duarte, CA
National Provider Identifier
1275783508
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56295 Issued in CA
Practice address
1755 Huntington Dr Ste 101
Duarte, CA 91010-2567
Phone
(626) 232-9293
NPI assigned
Sep 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 56295 CA Primary

Addresses

Primary practice location

1755 Huntington Dr Ste 101
Duarte, CA 91010-2567

Mailing address

1295 N Dominion Ave
Pasadena, CA 91104-3135
Phone (626) 232-9293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56295CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lal L. Thanga DDS Inc Dentist CurrentSince Oct 23, 2022 Accepting new patients

Locations

1755 Huntington Dr
Ste 101
Duarte, CA 91010
Phone (626) 232-9293

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1275783508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 N DOMINION AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043135",
            "telephone_number": "626-232-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HUNTINGTON DR STE 101",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102567",
            "telephone_number": "626-232-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGA",
        "first_name": "LAL",
        "middle_name": "LAWM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.