Active NPI
Lan Tuyet Khau, DDS
- General Practice Dentistry
- Westminster, CA
National Provider Identifier
1508942624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32473
- Practice address
- 14574 Brookhurst St
Westminster, CA 92683-5750 - Phone
- (714) 775-0836
- Fax
- (714) 775-4538
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 32473 | CA | Primary |
Addresses
Primary practice location
14574 Brookhurst St
Westminster, CA 92683-5750
Mailing address
14574 Brookhurst St
Westminster, CA 92683-5750
Phone (714) 775-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B32473-01 | Other | CA | DENTI-CAL |
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 |
|---|---|---|---|
| 32473 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508942624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14574 BROOKHURST ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835750",
"telephone_number": "714-775-0836",
"fax_number": "714-775-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14574 BROOKHURST ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835750",
"telephone_number": "714-775-0836",
"fax_number": "714-775-4538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAU",
"first_name": "LAN",
"middle_name": "TUYET",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "32473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B32473-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
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.