Grace Lo, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009024 Issued in CT

Practice address

35 Cold Spring Rd
Suite 324
Rocky Hill, CT 06067-3160

Phone

(860) 563-3330

Fax

(860) 563-3058

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Tylo LLC

  • General Practice Dentistry
  • Rocky Hill, CT
  • NPI 1740756345
  NPD (past) Authorized official

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306992623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD",
            "address_2": "SUITE 324",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673160",
            "telephone_number": "860-563-3330",
            "fax_number": "860-563-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD",
            "address_2": "SUITE 324",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673160",
            "telephone_number": "860-563-3330",
            "fax_number": "860-563-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Counseling, LLC
• Krishna Anand Lingiah, DO
• Andrew H Litchfield, DPM
• Kathryn E Litwin, MD
• Roxanne Livingston
• Jannette Lopez, APRN
• Jaylinn Haylee Lopez, BT
• Lovely Companion and Homemaker LLC
• Candace I Lumia, APRN
• Kathy Lundell

• General Practice Dentistry in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.