Active NPI
Tina S Lau, D.M.D.
- General Practice Dentistry
- Farmington, CT
National Provider Identifier
1518171867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 008946
- Practice address
- 263 Farmington Avenue
University Dentists
Farmington, CT 06030-2820 - Phone
- (860) 679-3170
- Fax
- (860) 679-8162
- NPI assigned
- May 9, 2007
- Sex
- Female
- 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 | 008946 | CT | Primary |
Addresses
Primary practice location
263 Farmington Avenue
University Dentists
Farmington, CT 06030-2820
Mailing address
263 Farmington Avenue
University Dentists
Farmington, CT 06030-2820
Phone (860) 748-3444
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 |
|---|---|---|---|
| 008946 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1518171867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"address_2": "UNIVERSITY DENTISTS",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060302820",
"telephone_number": "860-748-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"address_2": "UNIVERSITY DENTISTS",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060302820",
"telephone_number": "860-679-3170",
"fax_number": "860-679-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "TINA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "008946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.