My Hai Lac, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11659 Issued in OR

Practice address

1102 NE 82ND Ave
Portland, OR 97220-5701

Phone

(503) 408-8927

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mva Dental LLC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1962337998
  NPD (past)
• Pacific Dental Care P.C.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1245449164
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1952034738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 SE FLAVEL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205701",
            "telephone_number": "503-408-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAC",
        "first_name": "MY",
        "middle_name": "HAI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Jeannine Labruzzo, MS
• Sharon M. Labs, PH.D.
• Sy Labthavikul, PTA
• Victoria K Labuhn, RN
• Labyrinth Counseling LLC
• Aimee N Lacaden
• Kiana Lacaden
• Christine Louise Lacava
• Imelda P Lacayanga, MD
• Juan Pablo Lacayo

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

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