Individual provider Active NPI

Larry CHI-Tseng Tuan, LARRY TUAN

  • Periodontics
  • Arcadia, CA
National Provider Identifier
1386911550
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
39221 Issued in CA
Practice address
103 Las Tunas Dr
Arcadia, CA 91007-8550
Phone
(626) 445-2903
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 39221 CA Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39221 CA

Addresses

Primary practice location

103 Las Tunas Dr
Arcadia, CA 91007-8550

Mailing address

1418 Santa Teresa St
South Pasadena, CA 91030-4120

Other names 1

  • Dr. Lawrence CHI-Tseng Tuan Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Larry C. Tuan DDS.Inc. Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1386911550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 SANTA TERESA ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LAS TUNAS DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910078550",
            "telephone_number": "626-445-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUAN",
        "first_name": "LARRY",
        "middle_name": "CHI-TSENG",
        "name_prefix": "Dr.",
        "credential": "LARRY TUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "39221",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "TUAN",
            "middle_name": "CHI-TSENG",
            "prefix": "DR.",
            "credential": "DDS., MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.