Individual provider Active NPI

Michael Steven Louie, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
National Provider Identifier
1659981447
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
105088 Issued in CA
Practice address
7608 Bridgeview Dr
Sacramento, CA 95831-4235
Phone
(925) 413-3614
NPI assigned
Aug 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS105088 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 105088 CA Primary

Addresses

Primary practice location

7608 Bridgeview Dr
Sacramento, CA 95831-4235

Mailing address

3845 Beacon Ave Ste C
Fremont, CA 94538-1463

Other practice location 1

3845 Beacon Ave Ste C
Fremont, CA 94538-1463
Phone (925) 413-3614

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL m_louie5@u.pacific.edu Health Information Exchange (HIE)

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
I20201130000329 CA Practitioner - Oral SurgeryPractitioner - Dentist 3779994504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS105088CAMDGeneral Practice Dentistry
105088CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1659981447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 BEACON AVE STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7608 BRIDGEVIEW DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314235",
            "telephone_number": "925-413-3614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3845 Beacon Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381463",
            "country_code": "US",
            "telephone_number": "925-413-3614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105088",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "105088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "m_louie5@u.pacific.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3845 Beacon Ave Ste C",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.