Active NPI
Mathew T Luu, DDS
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1477620631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49141
- Practice address
- 9448 Magnolia Ave
A
Riverside, CA 92503-3746 - Phone
- (951) 343-0123
- Fax
- (951) 343-0268
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49141 | CA | Primary |
Addresses
Primary practice location
9448 Magnolia Ave
A
Riverside, CA 92503-3746
Mailing address
9448 Magnolia Ave
A
Riverside, CA 92503-3746
Phone (951) 343-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49141 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mathew Luu DDS Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Riverside, CA
- NPI 1659738722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477620631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9448 MAGNOLIA AVE",
"address_2": "A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033746",
"telephone_number": "951-343-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9448 MAGNOLIA AVE",
"address_2": "A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033746",
"telephone_number": "951-343-0123",
"fax_number": "951-343-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "MATHEW",
"middle_name": "T",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Luther Mangoba, MD Inc.
- Lutheran Social Services of Southern California
- Bryan Luu
- James-Duc Tan Luu, PHARMACIST
- Jimmy Luu
- Edith Luviano, MED
- Luxor Pharmacy Corp (Enova Care Pharmacy)
- Luxottica of America Inc. (Lenscrafters at Macy's #9407)
- Luxottica of America Inc. (Lenscrafters #611)
- Luxottica of America Inc. (Target Optical #6746)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.