Eric D. Luu & Lisa M. Nguyen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57669 Issued in CA

Legal business name

ERIC D. LUU & LISA M. NGUYEN

Doing business as

Mint Dental

Practice address

87 Fenton St
Ste 105
Livermore, CA 94550-4100

Phone

(925) 292-5231

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Mary Nguyen, DDS

Title

Dentist

Phone

(925) 292-5231

Specialties & licenses 2

Addresses

Other names 1

• Mint Dental Doing business as

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1467705533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "STE 105",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-292-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "STE 105",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-292-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D. LUU & LISA M. NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-292-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57669",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian J Emrich
• John Norman Emrich, DDS
• Joseph V Engels, M.S.
• Christopher Robert Entwisle, M.D.
• Kimeeco Kenyata Christine Epps
• Lynsie Erickson-Facca
• Rita Jean Escalante
• Alanna Esquejo, LMFT
• Mohsain Essa, M.D.
• Pedro Luis Estacio, MD

• General Practice Dentistry in Livermore, CA
• Providers in Livermore, 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 26, 2012; 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.