Active NPI
Christopher Lo, DDS
- General Practice Dentistry
- Albuquerque, NM
National Provider Identifier
1699383166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DD5371
- Practice address
- 1514 Coors Blvd NW
Albuquerque, NM 87121-1105 - Phone
- (505) 257-2000
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022783 | MI | |
| General Practice Dentistry | 1223G0001X | DD5371 | NM | Primary |
Addresses
Primary practice location
1514 Coors Blvd NW
Albuquerque, NM 87121-1105
Mailing address
6001 Moon St NE Apt 2127
Albuquerque, NM 87111-1456
Phone (669) 799-6477
Other practice location 1
5505 Central Ave NE
Albuquerque, NM 87108-1601
Phone (505) 843-7172
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022783 | MI | MD | Dentist |
| DD5371 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699056000000",
"number": "1699383166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 MOON ST NE APT 2127",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111456",
"telephone_number": "669-799-6477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871211105",
"telephone_number": "505-257-2000"
}
],
"practiceLocations": [
{
"address_1": "5505 Central Ave NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871081601",
"country_code": "US",
"telephone_number": "505-843-7172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LO",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2023-11-04",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022783",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD5371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.