Organization Active NPI

Gianna C Lum DDS Inc

  • General Practice Dentistry
  • Vacaville, CA
National Provider Identifier
1871186452
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GIANNA C LUM DDS INC
Practice address
290 Alamo Dr Ste D
Vacaville, CA 95688-4261
Phone
(707) 448-8474
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Dr. Gianna Cristina Ligouri Lum, DDSNPI 1215396411
Title
Owner
Phone
(707) 448-8474

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

290 Alamo Dr Ste D
Vacaville, CA 95688-4261

Mailing address

290 Alamo Dr Ste D
Vacaville, CA 95688-4261
Phone (707) 448-8474

National Provider Directory

National Provider Directory

Locations

290 Alamo Dr
Ste D
Vacaville, CA 95688
Phone (707) 448-8474

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": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1871186452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ALAMO DR STE D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884261",
            "telephone_number": "707-448-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALAMO DR STE D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884261",
            "telephone_number": "707-448-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANNA C LUM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "GIANNA",
        "authorized_official_middle_name": "CRISTINA LIGOURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-448-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.