Tuan T. Ly, DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

57169 Issued in CA

Legal business name

TUAN T. LY, DDS INC

Practice address

2097 Compton Ave
Suite 104B
Corona, CA 92881-7282

Phone

(951) 273-9992

Fax

(951) 273-9991

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tuan Thanh Ly, DDS

Title

Practice Owner

Phone

(951) 273-9992

Specialties & licenses 1

Addresses

Other names 1

• iSmiles Kids Dentistry and Orthodontics Other name

Tax ID family

Ismiles Kids Dentistry and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tuan T. Ly DDS, Inc

  • Pediatric Dentistry
  • Escondido, CA
  • NPI 1003254004
  NPD tax ID

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1356728281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE",
            "address_2": "SUITE 104B",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817282",
            "telephone_number": "951-273-9992",
            "fax_number": "951-273-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE",
            "address_2": "SUITE 104B",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817282",
            "telephone_number": "951-273-9992",
            "fax_number": "951-273-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUAN T. LY, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "LY",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "951-273-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSmiles Kids Dentistry and Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Renee Truzinski
• Isaac K Tsai, M.D.
• Minna Chun Tsai, D.D.S., M.S.D.
• Sy Tsi, MD
• Darlene Elizabeth Tu, MD
• Angel Tuliau
• Sa'D Khalil Tuqan, M.D.
• Heather Turcios
• Corrie Lynn Turley
• Kingston Turner

• Pediatric Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.