Active NPI
Hai Lai, D.D.S.
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1316078686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48735
- Practice address
- 2623 W Lincoln Ave Ste 101
Anaheim, CA 92801-6310 - Phone
- (714) 774-2500
- Fax
- (714) 774-2518
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93801-01 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48735 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hai Lai, a Professional Dental Corporation | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- Anaheim, CA
- NPI 1295925261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1316078686",
"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": {
"last_name": "LAI",
"first_name": "HAI",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G93801-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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.