Active NPI
Laura Margaret Pei, DMD
- Dentist
- Brea, CA
National Provider Identifier
1912623208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108274
- Practice address
- 805 W Imperial Hwy
Brea, CA 92821-3807 - Phone
- (714) 255-0168
- NPI assigned
- Oct 18, 2022
- Last updated
- Dec 15, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 108274 | CA | Primary |
Addresses
Primary practice location
805 W Imperial Hwy
Brea, CA 92821-3807
Mailing address
548 Coyote Canyon Way
Brea, CA 92821-3530
Other practice location 1
548 W La Habra Blvd
LA Habra, CA 90631-5308
Phone (562) 690-5261
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230508002140 | CA | Order and Referring Only - Dentist | 6103281555 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lea Bangsil DMD Inc | Past | Accepting new patients | |
| Brendalyn Chua Ching Dental Corporation | Dentist | Past | Accepting new patients |
| Allied Family Dentistry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Brea, CA
- NPI 1285828780
-
- General Practice Dentistry
- La Habra, CA
- NPI 1073562823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1912623208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 COYOTE CANYON WAY",
"city": "BREA",
"state": "CA",
"postal_code": "928213530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W IMPERIAL HWY",
"city": "BREA",
"state": "CA",
"postal_code": "928213807",
"telephone_number": "714-255-0168"
}
],
"practiceLocations": [
{
"address_1": "548 W La Habra Blvd",
"address_purpose": "LOCATION",
"city": "LA Habra",
"state": "CA",
"postal_code": "906315308",
"country_code": "US",
"telephone_number": "562-690-5261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEI",
"first_name": "LAURA",
"middle_name": "MARGARET",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.