Individual provider Active NPI

Lusai Qiu

  • Dentist
  • Northumberland, PA
National Provider Identifier
1942726427
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042976 Issued in PA
Practice address
112 Ironstone Dr
Northumberland, PA 17857-8543
Phone
(570) 235-2468
NPI assigned
Aug 16, 2017
Last updated
May 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 042976 PA Primary

Addresses

Primary practice location

112 Ironstone Dr
Northumberland, PA 17857-8543

Mailing address

112 Ironstone Dr
Northumberland, PA 17857-8543

Other practice location 1

134 Hospital Dr
Lewisburg, PA 17837-9315
Phone (570) 522-7070

Other practice location 2

1195 Sheridan St
Williamsport, PA 17701-3738
Phone (570) 326-7084

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
042976PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653696000000",
    "number": "1942726427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 IRONSTONE DR",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178578543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 IRONSTONE DR",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178578543",
            "telephone_number": "570-235-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379315",
            "country_code": "US",
            "telephone_number": "570-522-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1195 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013738",
            "country_code": "US",
            "telephone_number": "570-326-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QIU",
        "first_name": "LUSAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-05-28",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "042976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; 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.