Active NPI
Maggie Trang Lam, DDS
- General Practice Dentistry
- Tempe, AZ
National Provider Identifier
1720043169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6178
- Practice address
- 1761 E Warner Rd
Ste #a-14
Tempe, AZ 85284-4558 - Phone
- (480) 755-3320
- Fax
- (480) 755-3380
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6178 | AZ | Primary |
Addresses
Primary practice location
1761 E Warner Rd
Ste #a-14
Tempe, AZ 85284-4558
Mailing address
1761 E Warner Rd
Ste #a-14
Tempe, AZ 85284-4558
Phone (480) 755-3320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1767876 | Other | AZ | UNITED CONCORDIA |
| 892902 | Other | AZ | AHCCCS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6178 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720043169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 E WARNER RD",
"address_2": "STE #A-14",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852844558",
"telephone_number": "480-755-3320",
"fax_number": "480-755-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 E WARNER RD",
"address_2": "STE #A-14",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852844558",
"telephone_number": "480-755-3320",
"fax_number": "480-755-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "MAGGIE",
"middle_name": "TRANG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "6178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1767876",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "892902",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.