Cuong Q. Luu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60035350 Issued in WA

Practice address

3701 88TH St NE Ste D
Marysville, WA 98270-7243

Phone

(360) 925-6530

NPI assigned

Nov 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1548413586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 88TH ST NE STE D",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707243",
            "telephone_number": "360-925-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 88TH ST NE STE D",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707243",
            "telephone_number": "360-925-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "CUONG",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60035350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5059134",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janella Lourenco
• Tanner Michelle Lousberg
• David A Lu, D.O.
• Mia Melony Lucey, LMP
• Christopher George Lugo, D.M.D.
• Monique Luu
• Faith E Lykken, LMP
• M Virk DMD, PLLC
• Erica Renee Maccurdy, LMT
• Madeleine Villa Inc.

• General Practice Dentistry in Marysville, WA
• Providers in Marysville, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.