Active NPI
Le & Luu Dental Corp
- Exclusive Provider Organization
- Elk Grove, CA
National Provider Identifier
1508024431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 48953
- Legal business name
- LE & LUU DENTAL CORP
- Practice address
- 9575 Laguna Springs Dr
Elk Grove, CA 95758-7961 - Phone
- (916) 691-1141
- Fax
- (916) 691-1119
- NPI assigned
- May 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Merlie A Rosalin
- Title
- Office Manager
- Phone
- (916) 691-1141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 48953 | CA | Primary |
Addresses
Primary practice location
9575 Laguna Springs Dr
Elk Grove, CA 95758-7961
Mailing address
9575 Laguna Springs Dr
Elk Grove, CA 95758
Phone (916) 691-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48953 | Other | CA | DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
9575 Laguna Springs Dr
Elk Grove, CA 95758
Phone (916) 691-1141
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Elk Grove, CA
- NPI 1932284445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215216000000",
"number": "1508024431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9575 LAGUNA SPRINGS DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95758",
"telephone_number": "916-691-1141",
"fax_number": "916-691-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9575 LAGUNA SPRINGS DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587961",
"telephone_number": "916-691-1141",
"fax_number": "916-691-1119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LE & LUU DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-28",
"last_updated": "2008-07-05",
"status": "A",
"authorized_official_last_name": "ROSALIN",
"authorized_official_first_name": "MERLIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "916-691-1141",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "CA",
"license": "48953",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "48953",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.