Active NPI
Man-Cheung Lau, DDS MS
- Pediatric Dentistry
- Sandusky, OH
National Provider Identifier
1861601346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30-21191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.021191 | OH | |
| Pediatric Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2253387 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.021191 | OH | MD | General Practice Dentistry |
| 30-21191 | OH | MD | Pediatric Dentist |
Interoperability endpoints
- 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.