NPIMap

Organization Active NPI

Lakewood Modern Dentistry, LLP

Doing business as Lakewood Modern Dentistry

  • Dentist
  • Lakewood, CO
National Provider Identifier
1861943771
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAKEWOOD MODERN DENTISTRY, LLP
Doing business as
Lakewood Modern Dentistry
Practice address
7650 W Virginia Ave
A
Lakewood, CO 80226-3131
Phone
(303) 222-0296
Fax
(303) 362-9259
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Huong T Lam, DMDNPI 1750724126
Title
Owner General Dentist
Phone
(303) 222-0296

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

7650 W Virginia Ave
A
Lakewood, CO 80226-3131

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Lakewood Modern Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Modern Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7650 W Virginia Ave
Unit A
Lakewood, CO 80226
Phone (303) 222-0296

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1861943771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 W VIRGINIA AVE",
            "address_2": "A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263131",
            "telephone_number": "303-222-0296",
            "fax_number": "303-362-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD MODERN DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "HUONG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER GENERAL DENTIST",
        "authorized_official_telephone_number": "303-222-0296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.