Active NPI
Ivy Ting-Yi Lu
- Dentist
- Arcadia, CA
National Provider Identifier
1790697910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111253
- Practice address
- 411 W Lemon Ave
Arcadia, CA 91007-7945 - Phone
- (626) 390-0019
- NPI assigned
- Sep 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 111253 | CA | Primary |
Addresses
Primary practice location
411 W Lemon Ave
Arcadia, CA 91007-7945
Mailing address
No.108, Zimian Road
Kaohisung, ZUOYING DISTRICT 81348
TW
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1790697910",
"addresses": [
{
"country_code": "TW",
"country_name": "Taiwan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "NO.108, ZIMIAN ROAD",
"city": "KAOHISUNG",
"state": "ZUOYING DISTRICT",
"postal_code": "81348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W LEMON AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077945",
"telephone_number": "626-390-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "IVY",
"middle_name": "TING-YI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.