NPIMap

Organization Active NPI

Lei Luo, D.D.S., Inc

  • General Practice Dentistry
  • San Bruno, CA
National Provider Identifier
1558530741
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51498 Issued in CA
Legal business name
LEI LUO, D.D.S., INC
Practice address
841 San Bruno Ave W
Suite 3
San Bruno, CA 94066-3443
Phone
(650) 583-6032
Fax
(650) 583-6455
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Lei Luo, DDSNPI 1740458223
Title
President
Phone
(650) 583-6032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 51498 CA Primary

Addresses

Primary practice location

841 San Bruno Ave W
Suite 3
San Bruno, CA 94066-3443

Mailing address

841 San Bruno Ave W
Suite 3
San Bruno, CA 94066-3443
Phone (650) 583-6032

National Provider Directory

National Provider Directory

Locations

841 San Bruno Ave W
Ste 3
San Bruno, CA 94066
Phone (650) 583-6032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1558530741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W",
            "address_2": "SUITE 3",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663443",
            "telephone_number": "650-583-6032",
            "fax_number": "650-583-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W",
            "address_2": "SUITE 3",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663443",
            "telephone_number": "650-583-6032",
            "fax_number": "650-583-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEI LUO, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "LEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-583-6032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.