Organization Active NPI

Min Lwin DDS

  • General Practice Dentistry
  • San Gabriel, CA
National Provider Identifier
1356731699
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39985 Issued in CA
Legal business name
MIN LWIN DDS
Practice address
1739 S San Gabriel Blvd
San Gabriel, CA 91776-3927
Phone
(626) 288-5777
Fax
(626) 288-0137
NPI assigned
Jan 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Min Lwin, DDSNPI 1396849659
Title
Owner
Phone
(626) 288-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 39985 CA Primary

Addresses

Primary practice location

1739 S San Gabriel Blvd
San Gabriel, CA 91776-3927

Mailing address

1739 S San Gabriel Blvd
San Gabriel, CA 91776-3927
Phone (626) 288-5777

Other identifiers 1

IdentifierTypeStateIssuer
G9169201OtherCADENTI-CAL

National Provider Directory

National Provider Directory
Tax ID family
Min Lwin DDS2 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.

Locations

1739 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 288-5777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1356731699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763927",
            "telephone_number": "626-288-5777",
            "fax_number": "626-288-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763927",
            "telephone_number": "626-288-5777",
            "fax_number": "626-288-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN LWIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LWIN",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-288-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G9169201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.