Individual provider Active NPI

Nhien-Phuong Khoi Lu, D.D.S.

  • General Practice Dentistry
  • Springfield, VA
National Provider Identifier
1962490227
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401410604 Issued in VA
Practice address
6116 Rolling Rd Ste 108
Springfield, VA 22152-1512
Phone
(703) 764-1112
Fax
(703) 842-8407
NPI assigned
Oct 11, 2005
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 0401410604 VA Primary

Addresses

Primary practice location

6116 Rolling Rd Ste 108
Springfield, VA 22152-1512

Mailing address

6116 Rolling Rd Ste 108
Springfield, VA 22152-1512
Phone (703) 764-1112

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
0401410604VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Family and Cosmetic Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1962490227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD STE 108",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521512",
            "telephone_number": "703-764-1112",
            "fax_number": "703-842-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 ROLLING RD STE 108",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521512",
            "telephone_number": "703-764-1112",
            "fax_number": "703-842-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "NHIEN-PHUONG",
        "middle_name": "KHOI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.