Individual provider Active NPI

Lloyd Trieu, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1922297183
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54701 Issued in CA
Practice address
6136 Walnut Grove CT
Rancho Cucamonga, CA 91739-2267
Phone
(909) 646-7643
Fax
(909) 646-7643
NPI assigned
Oct 23, 2007
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 54701 CA Primary

Addresses

Primary practice location

6136 Walnut Grove CT
Rancho Cucamonga, CA 91739-2267

Mailing address

6136 Walnut Grove CT
Rancho Cucamonga, CA 91739-2267
Phone (909) 646-7643

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200722000542 CA Practitioner - Oral SurgeryPractitioner - Dentist 5294014254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54701CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chen DDS & Trieu DDS Inc. CurrentSince Mar 25, 2020 Accepting new patients

Locations

12285 Base Line Rd
Ste 110
Rancho Cucamonga, CA 91739
Phone (909) 979-3397

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1922297183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 WALNUT GROVE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392267",
            "telephone_number": "909-646-7643",
            "fax_number": "909-646-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 WALNUT GROVE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392267",
            "telephone_number": "909-646-7643",
            "fax_number": "909-646-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.