NPIMap

Individual provider Active NPI

Liangyun Lo, DMD

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1518653146
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
064235 Issued in NY
Practice address
3916 Prince St Ste M52
Flushing, NY 11354-5368
Phone
(929) 266-9888
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 064235 NY Primary

Addresses

Primary practice location

3916 Prince St Ste M52
Flushing, NY 11354-5368

Mailing address

70 Harvard St
Garden City, NY 11530-4036
Phone (404) 702-3474

Other practice location 1

21435 42nd Ave
Bayside, NY 11361-2993
Phone (718) 352-5582

Other practice location 2

18 Haven Ave Ste 200
Port Washington, NY 11050-3642
Phone (516) 944-5300

Other names 1

  • Dr. Lorita Lo Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arista Dental Care, PC General Practice Past Accepting new patients
Port Washington Dental Care General Practice PastSince May 18, 2025 Accepting new patients
Bell Dental Care General Practice Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1518653146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HARVARD ST",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304036",
            "telephone_number": "404-702-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST STE M52",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545368",
            "telephone_number": "929-266-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21435 42nd Ave",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113612993",
            "country_code": "US",
            "telephone_number": "718-352-5582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Haven Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Port Washington",
            "state": "NY",
            "postal_code": "110503642",
            "country_code": "US",
            "telephone_number": "516-944-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "LIANGYUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "064235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORITA",
            "last_name": "LO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.