Brian Thomas Lu, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DD5523 Issued in NM

Practice address

200 Sudderth Dr Ste C
Ruidoso, NM 88345-6001

Phone

(575) 258-4698

NPI assigned

Sep 19, 2012

Last updated

Nov 11, 2024By 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

Enrolled in TX

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

Locations

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.

• Lu Tran DDS LLC

  dba Brian T Lu, DDS Endodontic Specialist

  • Endodontics
  • Ruidoso, NM
  • NPI 1386371607
  NPD Authorized official

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1487904215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SUDDERTH DR STE C",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456001",
            "telephone_number": "575-258-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SUDDERTH DR STE C",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456001",
            "telephone_number": "575-258-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NM",
            "license": "DD5523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Y Littleton, BMS
• William J Long, PHARMACIST
• Jacqueline Lopez
• Naomi M. Lopez, LMSW
• Lu Tran DDS LLC (Brian T Lu, DDS Endodontic Specialist)
• Anne S Lucero, BMS
• Amy Luera
• Kyle Richard Lusk, CRNA
• Rachel A Madrid
• Elizabeth Belle Maines, PH.D.

• Endodontics in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Endodontics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.