Active NPI
Elizabeth Luong
- Dentist
- Folsom, CA
National Provider Identifier
1326583873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100585
- Legal business name
- ELIZABETH LUONG
- Practice address
- 1747 Creekside Dr
Folsom, CA 95630-3927 - Phone
- (415) 513-3792
- NPI assigned
- Dec 19, 2016
- 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
- Elizabeth Luong, DMD
- Title
- Dentist
- Phone
- (415) 513-3792
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100585 | CA | Primary |
Addresses
Primary practice location
1747 Creekside Dr
Folsom, CA 95630-3927
Mailing address
1747 Creekside Dr
Folsom, CA 95630-3927
Phone (415) 513-3792
National Provider Directory
National Provider DirectoryLocations
1747 Creekside Dr
Folsom, CA 95630
Phone (415) 513-3792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482105600000",
"number": "1326583873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 CREEKSIDE DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303927",
"telephone_number": "415-513-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 CREEKSIDE DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303927",
"telephone_number": "415-513-3792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH LUONG",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-19",
"last_updated": "2016-12-19",
"status": "A",
"authorized_official_last_name": "LUONG",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "415-513-3792",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "100585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.