Matthew J Lau, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58875 Issued in CA

Practice address

2111 Whitehall PL
Suite
Alameda, CA 94501-6160

Phone

(510) 523-5323

Fax

(510) 864-7769

NPI assigned

Oct 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1417282187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 WHITEHALL PL",
            "address_2": "SUITE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016160",
            "telephone_number": "510-523-5323",
            "fax_number": "510-864-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 WHITEHALL PL",
            "address_2": "SUITE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016160",
            "telephone_number": "510-523-5323",
            "fax_number": "510-864-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "58875",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phylicia Christine Aclan Latorre
• Julia Lats
• Clorinda Yuen Mon Lau, D.C.
• Daniel Lau, RDO
• Hazel Lau, MOT; OTR/L
• Yolanda Lau, M.D.
• Nathaniel Keith Laumer, RBT
• Barry Nathan Laven, MD
• Jamie Lavender, LMFT
• Robert George Lavoice

• General Practice Dentistry in Alameda, CA
• Providers in Alameda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.