Individual provider Active NPI

Gary Luu, DDS

  • General Practice Dentistry
  • Monterey Park, CA
National Provider Identifier
1912322181
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63263 Issued in CA
Practice address
1101 E Garvey Ave Ste 106
Monterey Park, CA 91755-3054
Phone
(626) 288-8940
NPI assigned
Feb 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63263 CA Primary

Addresses

Primary practice location

1101 E Garvey Ave Ste 106
Monterey Park, CA 91755-3054

Mailing address

1101 E Garvey Ave Ste 106
Monterey Park, CA 91755-3054
Phone (626) 288-8940

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

State licenses

LicenseStateTypeSpecialty
63263CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gary a Luu D.D.S. Inc. General Practice CurrentSince Aug 2, 2020 Accepting new patients
Hoi Van Luu Dental Corp. Past Accepting new patients

Locations

1101 E Garvey Ave
Ste 106
Monterey Park, CA 91755
Phone (626) 288-8940

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1912322181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E GARVEY AVE STE 106",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553054",
            "telephone_number": "626-288-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E GARVEY AVE STE 106",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917553054",
            "telephone_number": "626-288-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.