Irene Louie, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

104714 Issued in CA

Practice address

671 Elmira Rd Ste 130
Vacaville, CA 95687-4655

Phone

(707) 215-5259

NPI assigned

Jul 2, 2018

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Irene Louie DDS PC

  • Periodontics
  • San Francisco, CA
  • NPI 1710708391
  NPD Authorized official
• Usha Mantena Dental Corporation

  dba Vacaville Dentistry and Orthodontics Dental Group

  • Dentist
  • Vacaville, CA
  • NPI 1073976361
  NPD (past)
• Usha Mantena Dental Corporation

  dba Vacaville Dentistry and Orthodontics

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1093176380
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1447746581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TERESITA BLVD APT 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 ELMIRA RD STE 130",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874655",
            "telephone_number": "707-215-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "IRENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "104714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91066093E44051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin David Lopez
• Katherine Andrea Lopez
• Mareli Loreto
• Joanne M. Loritz, MD
• Mariana Lotersztain, MD
• Jennifer Lovelace, LCSW
• Stephanie Ranay Low
• Susan-Marie Tirona Lowe, PT
• Alexia Simone Lowi-Teng
• Ronnie M Lu, M.D.

• Periodontics in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.