Active NPI
Christopher Thieu Lai, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Milwaukee, WI
National Provider Identifier
1316181969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 57649
- Practice address
- 1653 N Jackson St
201
Milwaukee, WI 53202-2098 - Phone
- (310) 422-1440
- NPI assigned
- Apr 27, 2009
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 57649 | CA | Primary |
Addresses
Primary practice location
1653 N Jackson St
201
Milwaukee, WI 53202-2098
Mailing address
1653 N Jackson St
201
Milwaukee, WI 53202-2098
Phone (310) 422-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027000155 | CA | Order and Referring Only - Dentist | 4486963881 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1316181969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 N JACKSON ST",
"address_2": "201",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022098",
"telephone_number": "310-422-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 N JACKSON ST",
"address_2": "201",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022098",
"telephone_number": "310-422-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "CHRISTOPHER",
"middle_name": "THIEU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "57649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.