Individual provider Active NPI

Lu Cao Dinh, DMD

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1295056570
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8959 Issued in SC
Practice address
949 E Estates Blvd Apt 306
Charleston, SC 29414-5669
Phone
(214) 991-9913
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X
General Practice Dentistry 1223G0001X 8959 SC Primary

Addresses

Primary practice location

949 E Estates Blvd Apt 306
Charleston, SC 29414-5669

Mailing address

949 E Estates Blvd Apt 306
Charleston, SC 29414-5669
Phone (214) 991-9913

Other practice location 1

4025 Stanford Ave
Dallas, TX 75225-7006
Phone (214) 460-2946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20171228000000 SC Order and Referring Only - DentistPractitioner - Dentist 5991063760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8959SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Dental LLC CurrentSince Apr 16, 2023 Accepting new patients

Locations

144 Professional Park Dr
Conway, SC 29526
Phone (843) 349-8888

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295056570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 E ESTATES BLVD APT 306",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145669",
            "telephone_number": "214-991-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 E ESTATES BLVD APT 306",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145669",
            "telephone_number": "214-991-9913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Stanford Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752257006",
            "country_code": "US",
            "telephone_number": "214-460-2946",
            "fax_number": "214-975-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "LU",
        "middle_name": "CAO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.