Lou Prusa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32385 Issued in CA

Practice address

10251 Torre Ave
Suite 200
Cupertino, CA 95014-2186

Phone

(408) 252-7274

Fax

(408) 252-7297

NPI assigned

Oct 31, 2008

Last updated

Oct 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ritu Punia DMD Inc

  • Dental Clinic/Center
  • Cupertino, CA
  • NPI 1114683190
  NPD (past)

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1447403688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE",
            "address_2": "SUITE 200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142186",
            "telephone_number": "408-252-7274",
            "fax_number": "408-252-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE",
            "address_2": "SUITE 200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142186",
            "telephone_number": "408-252-7274",
            "fax_number": "408-252-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSA",
        "first_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneetha Prabhakar
• Dawn R Predium, LMFT
• Jack Prince
• Tina Prothro-Jones, PT
• Erin Prues, CMT
• PT in Motion
• Chunyu Pu, PH.D.
• Lawrence A Puccinelli Jr., DDS
• Man Wai Pun
• Shue Pun

• General Practice Dentistry in Cupertino, CA
• Providers in Cupertino, 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 Oct 31, 2008; 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.