Individual provider Active NPI

Hau Lam, DMD

  • General Practice Dentistry
  • Socorro, TX
National Provider Identifier
1700569175
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39797 Issued in TX
Practice address
11501 Socorro Rd
Socorro, TX 79927-3060
Phone
(915) 603-4633
NPI assigned
Aug 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 39797 TX Primary

Addresses

Primary practice location

11501 Socorro Rd
Socorro, TX 79927-3060

Mailing address

10701 Vista del Sol Dr Apt 22
El Paso, TX 79935-4503
Phone (714) 251-1525

Other practice location 1

7400 Viscount Blvd Ste 103
El Paso, TX 79925-4800
Phone (915) 666-4514

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
39797TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jr Dental Group, PLLC General Practice PastSince Apr 21, 2024 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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1700569175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 VISTA DEL SOL DR APT 22",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354503",
            "telephone_number": "714-251-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 SOCORRO RD",
            "city": "SOCORRO",
            "state": "TX",
            "postal_code": "799273060",
            "telephone_number": "915-603-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Viscount Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799254800",
            "country_code": "US",
            "telephone_number": "915-666-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "HAU",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.