NPIMap

Organization Active NPI

Lam Dental Corp

Doing business as Tooth Booth Pediatric Dentistry

  • Pediatric Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1831413350
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
54770 Issued in CA
Legal business name
LAM DENTAL CORP
Doing business as
Tooth Booth Pediatric Dentistry
Practice address
10165 Foothill Blvd
Suite # 4, 5
Rancho Cucamonga, CA 91730-0340
Phone
(818) 458-2516
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Thai Tom Lam, DDSNPI 1760694871
Title
Owner
Phone
(818) 458-2516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 54770 CA Primary

Addresses

Primary practice location

10165 Foothill Blvd
Suite # 4, 5
Rancho Cucamonga, CA 91730-0340

Mailing address

10165 Foothill Blvd
Suite # 4, 5
Rancho Cucamonga, CA 91730-0340
Phone (818) 458-2516

Other names 1

  • Tooth Booth Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10165 Foothill Blvd
Ste 4
Rancho Cucamonga, CA 91730
Phone (818) 458-2516

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1831413350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD",
            "address_2": "SUITE # 4, 5",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300340",
            "telephone_number": "818-458-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 FOOTHILL BLVD",
            "address_2": "SUITE # 4, 5",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300340",
            "telephone_number": "818-458-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "THAI",
        "authorized_official_middle_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-458-2516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "54770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Booth Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.