Organization Active NPI

Michael H Luu DMD Inc

  • Dentist
  • San Jose, CA
National Provider Identifier
1417350992
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B48827 Issued in CA
Legal business name
MICHAEL H LUU DMD INC
Practice address
820 Willow St
Suite 150
San Jose, CA 95125-2396
Phone
(408) 298-2988
Fax
(408) 298-2989
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Michael H Luu, DMDNPI 1073621686
Title
Dentist/ Owner
Phone
(408) 298-2988

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X B48827 CA Primary

Addresses

Primary practice location

820 Willow St
Suite 150
San Jose, CA 95125-2396

Mailing address

820 Willow St
Suite 150
San Jose, CA 95125-2396
Phone (408) 298-2988

Other identifiers 1

IdentifierTypeStateIssuer
B48827-01OtherCADENTIC

National Provider Directory

National Provider Directory

Locations

820 Willow St
Ste 150
San Jose, CA 95125
Phone (408) 298-2988

Practitioners & affiliated clinicians

Practitioners 1

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": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1417350992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 WILLOW ST",
            "address_2": "SUITE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252396",
            "telephone_number": "408-298-2988",
            "fax_number": "408-298-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 WILLOW ST",
            "address_2": "SUITE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252396",
            "telephone_number": "408-298-2988",
            "fax_number": "408-298-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H LUU DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "408-298-2988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B48827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIC",
            "identifier": "B48827-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.