NPIMap

Organization Active NPI

Stephen S. Lu, D.M.D., Inc.

  • General Practice Dentistry
  • Tewksbury, MA
National Provider Identifier
1295757144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15635 Issued in MA
Legal business name
STEPHEN S. LU, D.M.D., INC.
Practice address
945 Main St
Tewksbury, MA 01876-1847
Phone
(978) 851-7253
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen S, Lu, D.M.D.NPI 1629091624
Title
Shareholder
Phone
(978) 851-7253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 15635 MA Primary

Addresses

Primary practice location

945 Main St
Tewksbury, MA 01876-1847

Mailing address

945 Main St
Tewksbury, MA 01876-1847
Phone (978) 851-7253

National Provider Directory

National Provider Directory

Locations

945 Main St
Tewksbury, MA 01876
Phone (978) 851-7253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295757144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761847",
            "telephone_number": "978-851-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761847",
            "telephone_number": "978-851-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN S. LU, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S,",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "978-851-7253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "15635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.