Individual provider Active NPI

Hoang Tuan Huy La, DDS

  • Dentist
  • Visalia, CA
National Provider Identifier
1285701250
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44914 Issued in CA
Practice address
828 S Mooney Blvd
Visalia, CA 93277-2212
Phone
(559) 636-6040
Fax
(559) 636-8862
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44914 CA Primary

Addresses

Primary practice location

828 S Mooney Blvd
Visalia, CA 93277-2212

Mailing address

4616 W Concord Ave
Visalia, CA 93277-5138
Phone (559) 738-1078

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
I20160226000543 CA Order and Referring Only - DentistPractitioner - Dentist 3971808098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. Dentist Past Accepting new patients
Hoang Tuan Huy la, DDS., Inc. Dentist Past Accepting new patients

Organizations & group practices 2

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1285701250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W CONCORD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775138",
            "telephone_number": "559-738-1078",
            "fax_number": "559-738-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772212",
            "telephone_number": "559-636-6040",
            "fax_number": "559-636-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "HOANG TUAN",
        "middle_name": "HUY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.