Active NPI
Dennis L Tiu, DMD
- Dentist
- Fresno, CA
National Provider Identifier
1720181779
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42893
- Practice address
- 1658 N Blackstone Ave
Fresno, CA 93703 - Phone
- (559) 444-0444
- Fax
- (559) 444-0454
- NPI assigned
- Sep 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42893 | CA | Primary |
Addresses
Primary practice location
1658 N Blackstone Ave
Fresno, CA 93703
Mailing address
1658 N Blackstone Ave
Fresno, CA 93703
Phone (559) 444-0444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G91518-01 | Other | CA | MEDICAL |
| G98011-03 | Other | CA | HEALTHY FAMILIES |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Tiu DMD, Inc. | Current | 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.
-
- Dental Clinic/Center
- Fresno, CA
- NPI 1316695539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720181779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 N BLACKSTONE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93703",
"telephone_number": "559-444-0444",
"fax_number": "559-444-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 N BLACKSTONE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93703",
"telephone_number": "559-444-0444",
"fax_number": "559-444-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIU",
"first_name": "DENNIS",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "G91518-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES",
"identifier": "G98011-03",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.