Lais Mohammed Lodin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104240 Issued in CA

Practice address

2895 Freeman PL
Fremont, CA 94555-1413

Phone

(510) 586-8017

NPI assigned

Aug 5, 2019

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: lais.lodin.p1@direct.cmcentersinc.nextgenshare.com
• Direct secure messaging: llodin768328@direct.ochin.org

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1962057133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 FREEMAN PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551413",
            "telephone_number": "510-586-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 FREEMAN PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551413",
            "telephone_number": "510-586-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODIN",
        "first_name": "LAIS",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Pey-Lin Lo, M.D.
• Victoria Lee Lo, DDS
• Joseph B Locaria, MA
• Rita Marie Locaria, MA
• Alyssa Beth Locquiao
• John J Loero, D.C.,Q.M.E.
• Scott Arthur Loitz
• Munira K Lokhandwala, DDS
• Ai Ngan Long
• Hanzhi Helen Long, PHARM.D.

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.