Lifetime Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42062 Issued in CA

Legal business name

LIFETIME DENTAL CARE

Practice address

1062 S de Anza Blvd Ste C103
San Jose, CA 95129-3556

Phone

(408) 255-9666

Fax

(408) 255-4524

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wendy C Lu, DDSNPI 1457694242

Title

President

Phone

(408) 255-9666

Specialties & licenses 1

Addresses

Practitioners 2

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

• Wendy Lu

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1457694242
  NPD (past) Authorized official
• Tiffany Yau, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1487010104
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1740201896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 S DE ANZA BLVD STE C103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293556",
            "telephone_number": "408-255-9666",
            "fax_number": "408-255-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 S DE ANZA BLVD STE C103",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293556",
            "telephone_number": "408-255-9666",
            "fax_number": "408-255-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-255-9666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Home Health Care LLC
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• Lifemoves - Julian Street Inn
• Lifemoves - Montgomery Street Inn
• Lifeplus Pharmacy Inc.
• Neri Liffshitz Choma, DOULA
• Jason I Lifshutz, MD
• Helen Liggins
• Randy Q. Ligh, DDS
• Light & Joy Acupuncture Inc.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.