Individual provider Active NPI

Man-Cheung Lau, DDS MS

  • Pediatric Dentistry
  • Sandusky, OH
National Provider Identifier
1861601346
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30-21191 Issued in OH
Practice address
236 W Perkins Ave
Sandusky, OH 44870-4875
Phone
(419) 504-1133
Fax
(419) 504-1030
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.021191 OH
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 30-21191 OH Primary

Addresses

Primary practice location

236 W Perkins Ave
Sandusky, OH 44870-4875

Mailing address

236 W Perkins Ave
Sandusky, OH 44870-4875
Phone (419) 504-1133

Other identifiers 1

IdentifierTypeStateIssuer
2253387MedicaidOH

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30.021191OHMDGeneral Practice Dentistry
30-21191OHMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: mancheung.laudds.p1@direct.ecchc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1861601346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704875",
            "telephone_number": "419-504-1133",
            "fax_number": "419-504-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704875",
            "telephone_number": "419-504-1133",
            "fax_number": "419-504-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "MAN-CHEUNG",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021191",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-21191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2253387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.