Individual provider Active NPI

Benjamin Lu, DDS

  • Dentist
  • Temple City, CA
National Provider Identifier
1437447117
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61961 Issued in CA
Practice address
9216 Las Tunas Dr
Temple City, CA 91780-1907
Phone
(626) 287-1386
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61961 CA Primary

Addresses

Primary practice location

9216 Las Tunas Dr
Temple City, CA 91780-1907

Mailing address

9216 Las Tunas Dr
Temple City, CA 91780-1907
Phone (626) 287-1386

Other practice location 1

801 W Valley Blvd Ste 201
Alhambra, CA 91803-3257
Phone (626) 281-3651

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230502001830 CA Practitioner - Oral Surgery 1153623095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61961CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Lu DDS a Dental Corporation Dentist CurrentSince Dec 23, 2013 Accepting new patients
Benjamin Lu DDS a Dental Corporation Dentist CurrentSince Feb 26, 2023 Accepting new patients
Henry C. Lu Dental Corp Dba Sunny Smile Dental PastSince Feb 26, 2023 Accepting new patients
Henry Lu Dental Corp. Past Accepting new patients

Locations

801 W Valley Blvd
Ste 201
Alhambra, CA 91803
Phone (626) 281-3651

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

Organizations & group practices 4

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1437447117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801907",
            "telephone_number": "626-287-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9216 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801907",
            "telephone_number": "626-287-1386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Valley Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918033257",
            "country_code": "US",
            "telephone_number": "626-281-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2023-02-24",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "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

Verify at the official NPI Registry.