Individual provider Active NPI

Felicia L Lai, D.D.S.

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1548338452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31079 Issued in CA
Practice address
4120 Truxtun Ave
Suite B
Bakersfield, CA 93309-0425
Phone
(661) 631-8388
Fax
(661) 326-8498
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 31079 CA Primary

Addresses

Primary practice location

4120 Truxtun Ave
Suite B
Bakersfield, CA 93309-0425

Mailing address

4120 Truxtun Ave
Suite B
Bakersfield, CA 93309-0425
Phone (661) 631-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160613001175 CA Order and Referring Only - DentistPractitioner - Dentist 1658661129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31079CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548338452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 TRUXTUN AVE",
            "address_2": "SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090425",
            "telephone_number": "661-631-8388",
            "fax_number": "661-326-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 TRUXTUN AVE",
            "address_2": "SUITE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090425",
            "telephone_number": "661-631-8388",
            "fax_number": "661-326-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "FELICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.