Individual provider Active NPI

Cu Tu Lu, DDS

  • General Practice Dentistry
  • Madera, CA
National Provider Identifier
1407077274
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44928 Issued in CA
Practice address
515 E. Yosemite Ave.
Madera, CA 93638
Phone
(559) 673-0199
Fax
(559) 673-8379
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44928 CA Primary

Addresses

Primary practice location

515 E. Yosemite Ave.
Madera, CA 93638

Mailing address

515 E Yosemite Ave
Madera, CA 93638-3334
Phone (559) 271-5418

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

State licenses

LicenseStateTypeSpecialty
44928CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cu Tu Lu, DDS Inc. a Professional Dental Corp. CurrentSince Jun 28, 2020 Accepting new patients

Locations

515 E Yosemite Ave
Madera, CA 93638
Phone (559) 673-0199

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1407077274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E YOSEMITE AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383334",
            "telephone_number": "559-271-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E. YOSEMITE AVE.",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93638",
            "telephone_number": "559-673-0199",
            "fax_number": "559-673-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "CU",
        "middle_name": "TU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.