Active NPI
Laurie Jue
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1881087765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 44709
- Practice address
- 838 Grant Ave Ste 309
San Francisco, CA 94108-1741 - Phone
- (415) 982-8434
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 44709 | CA | Primary |
Addresses
Primary practice location
838 Grant Ave Ste 309
San Francisco, CA 94108-1741
Mailing address
838 Grant Ave Ste 309
San Francisco, CA 94108-1741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603002849 | CA | Order and Referring Only - Other (Non-Physician) | 6406177393 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44709 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- ljue21500@smch.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1881087765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 GRANT AVE STE 309",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 GRANT AVE STE 309",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941081741",
"telephone_number": "415-982-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUE",
"first_name": "LAURIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "44709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.