Organization Active NPI

Vo Thi Ngoc Lan DDS Inc

Doing business as Arcadia Medi-Dental Group

  • Dentist
  • Arcadia, CA
National Provider Identifier
1487145090
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58563 Issued in CA
Legal business name
VO THI NGOC LAN DDS INC
Doing business as
Arcadia Medi-Dental Group
Practice address
311 E Live Oak Ave
Arcadia, CA 91006-5618
Phone
(626) 478-7618
Fax
(626) 821-0996
NPI assigned
May 21, 2018
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Mrs. Lan Ngoc Thi Vo
Title
President
Phone
(626) 478-7618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58563 CA Primary

Addresses

Primary practice location

311 E Live Oak Ave
Arcadia, CA 91006-5618

Mailing address

311 E Live Oak Ave
Arcadia, CA 91006-5618
Phone (626) 348-8563

Other names 1

  • Arcadia Medi-Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

311 E Live Oak Ave
Arcadia, CA 91006
Phone (626) 348-8228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1487145090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065618",
            "telephone_number": "626-348-8563",
            "fax_number": "626-821-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065618",
            "telephone_number": "626-478-7618",
            "fax_number": "626-821-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VO THI NGOC LAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "NGOC THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-478-7618",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Medi-Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.