Individual provider Active NPI

Victoria Renae Michiko Louie, DDS

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1770138620
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS103938 Issued in CA
Practice address
41268 Fremont Blvd
Fremont, CA 94538-4823
Phone
(510) 656-7778
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS103938 CA Primary

Addresses

Primary practice location

41268 Fremont Blvd
Fremont, CA 94538-4823

Mailing address

41268 Fremont Blvd
Fremont, CA 94538-4823
Phone (510) 656-7778

Other practice location 1

1730 Franklin St Ste 302
Oakland, CA 94612-3417
Phone (510) 452-1156

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

State licenses

LicenseStateTypeSpecialty
DDS103938CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher L Louie DDS Inc PastSince Aug 11, 2019 Accepting new patients
Michael Okumoto, DDS, Dental Corp. PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1770138620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41268 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384823",
            "telephone_number": "510-656-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41268 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384823",
            "telephone_number": "510-656-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Franklin St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123417",
            "country_code": "US",
            "telephone_number": "510-452-1156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "VICTORIA",
        "middle_name": "RENAE MICHIKO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.