Jianwei Jenny Lu, D. D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7739 Issued in OR

Practice address

1282 NW Civic Dr
Gresham, OR 97030-5509

Phone

(503) 760-1334

Fax

(503) 762-1955

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jenny Lu Professional name

Medicare fee-for-service enrollment

Enrolled in OR

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1649323007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1282 NW CIVIC DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305509",
            "telephone_number": "503-760-1334",
            "fax_number": "503-762-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 NW CIVIC DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305509",
            "telephone_number": "503-760-1334",
            "fax_number": "503-762-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "JIANWEI",
        "middle_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "D. D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "7739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "LU",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amy Lounsbury-Enk, LPC
• Kimberly Anne Louvin, LCSW
• Christa Ann Loveland, LCSW
• David J. Lowe, M.A., LPC
• Brooke Lowry, PA-C
• Amy Lucas, BA IN PSYCHOLOGY
• Patricia Lucas
• Haley Nicole Luce, MA, BCBA, LBA
• Jeffrey Henry Lucero, LCSW
• Randolph Lucero, CRM, PSS-AD

• General Practice Dentistry in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.