NPIMap

Organization Active NPI

Elizabeth Luong D.M.D. Inc.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1710569215
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELIZABETH LUONG D.M.D. INC.
Doing business as
MIDTOWN PROFESSIONAL DENTISTRY
Practice address
810 29TH St
Sacramento, CA 95816-4320
Phone
(916) 443-1905
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Dr. Elizabeth Luong, DMD
Title
Owner/Dentist
Phone
(415) 513-3792

Specialties & licenses 1

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

Addresses

Primary practice location

810 29TH St
Sacramento, CA 95816-4320

Mailing address

810 29TH St
Sacramento, CA 95816-4320
Phone (916) 443-1905

Other names 1

  • MIDTOWN PROFESSIONAL DENTISTRY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1710569215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 29TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164320",
            "telephone_number": "916-443-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 29TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164320",
            "telephone_number": "916-443-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH LUONG D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "415-513-3792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDTOWN PROFESSIONAL DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.