Organization Active NPI

Jeffrey Lu, DDS PC

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1710217161
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027216 Issued in IL
Legal business name
JEFFREY LU, DDS PC
Practice address
2936 Show Place Dr
Suite 106
Naperville, IL 60564-5062
Phone
(630) 778-0024
Fax
(630) 778-0027
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dr. Jeff Lu, DDS
Title
Dentist/Owner
Phone
(630) 728-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019027216 IL Primary

Addresses

Primary practice location

2936 Show Place Dr
Suite 106
Naperville, IL 60564-5062

Mailing address

2936 Show Place Dr
Suite 106
Naperville, IL 60564-5062
Phone (630) 778-0024

Other names 1

  • Naperville Crossings Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1710217161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 SHOW PLACE DR",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645062",
            "telephone_number": "630-778-0024",
            "fax_number": "630-778-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 SHOW PLACE DR",
            "address_2": "SUITE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645062",
            "telephone_number": "630-778-0024",
            "fax_number": "630-778-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY LU, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "630-728-2129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naperville Crossings Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.