Organization Active NPI

Benjamin Lu DDS a Dental Corporation

  • Dentist
  • Temple City, CA
National Provider Identifier
1417333808
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61961 Issued in CA
Legal business name
BENJAMIN LU DDS A DENTAL CORPORATION
Practice address
9216 Las Tunas Drive
Temple City, CA 91780
Phone
(626) 287-1386
Fax
(626) 281-2065
NPI assigned
Aug 7, 2015
Last updated
Apr 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Dr. Benjamin Lu, DDSNPI 1437447117
Title
Dentist
Phone
(626) 287-1386

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
Dentist 122300000X 61961 CA Primary

Addresses

Primary practice location

9216 Las Tunas Drive
Temple City, CA 91780

Mailing address

9216 Las Tunas Drive
Temple City, CA 91780
Phone (626) 287-1386

National Provider Directory

National Provider Directory
Tax ID family
Benjamin Lu DDS a Dental Corporation2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1417333808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 LAS TUNAS DRIVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "91780",
            "telephone_number": "626-287-1386",
            "fax_number": "626-281-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 LAS TUNAS DRIVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "91780",
            "telephone_number": "626-287-1386",
            "fax_number": "626-281-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN LU DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-287-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.