Active NPI
Hai Lai, a Professional Dental Corporation
- Dental Clinic/Center
- Anaheim, CA
National Provider Identifier
1295925261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 48735
- Legal business name
- HAI LAI, A PROFESSIONAL DENTAL CORPORATION
- Practice address
- 2623 W Lincoln Ave Ste 101
Anaheim, CA 92801-6310 - Phone
- (714) 774-2500
- Fax
- (714) 774-2518
- NPI assigned
- Jul 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hai Lai, D.D.S.
- Title
- Ceo
- Phone
- (714) 774-2500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 48735 | CA | Primary |
Addresses
Primary practice location
2623 W Lincoln Ave Ste 101
Anaheim, CA 92801-6310
Mailing address
2623 W Lincoln Ave Ste 101
Anaheim, CA 92801-6310
Phone (714) 774-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1345761 | Other | CA | UNITED CONCORDIA |
| G93801-01 | Medicaid | CA |
Other names 1
- King Dental Practice
National Provider Directory
National Provider DirectoryLocations
2623 W Lincoln Ave
Ste 101
Anaheim, CA 92801
Phone (714) 774-2500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1316078686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559174400000",
"number": "1295925261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2623 W LINCOLN AVE STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016310",
"telephone_number": "714-774-2500",
"fax_number": "714-774-2518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 W LINCOLN AVE STE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928016310",
"telephone_number": "714-774-2500",
"fax_number": "714-774-2518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAI LAI, A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2019-05-30",
"status": "A",
"authorized_official_last_name": "LAI",
"authorized_official_first_name": "HAI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-774-2500",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "48735",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1345761",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G93801-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "King Dental Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "King Dental Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.