Individual provider Active NPI

Louis Y. Hau, DMD

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1699061507
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
025536 Issued in CA
Practice address
4110 Moorpark Ave Ste a
San Jose, CA 95117-1712
Phone
(408) 246-8686
Fax
(408) 246-8690
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 025536 CA Primary

Addresses

Primary practice location

4110 Moorpark Ave Ste a
San Jose, CA 95117-1712

Mailing address

4110 Moorpark Ave Ste a
San Jose, CA 95117-1712
Phone (408) 246-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025536CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hau Levine & Malm,Berg, Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1699061507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 MOORPARK AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171712",
            "telephone_number": "408-246-8686",
            "fax_number": "408-246-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 MOORPARK AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171712",
            "telephone_number": "408-246-8686",
            "fax_number": "408-246-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAU",
        "first_name": "LOUIS",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "025536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.