Individual provider Active NPI

Louis Tieu, D.D.S.,M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Campbell, CA
National Provider Identifier
1972641595
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
A82866 Issued in CA
Practice address
281 E Hamilton Ave
Suite 6
Campbell, CA 95008-0232
Phone
(408) 871-2988
NPI assigned
Feb 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 44633 CA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X A82866 CA Primary

Addresses

Primary practice location

281 E Hamilton Ave
Suite 6
Campbell, CA 95008-0232

Mailing address

281 E Hamilton Ave
Suite 6
Campbell, CA 95008-0232
Phone (408) 871-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 27, 2015 through Dec 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44633CAMDOral and Maxillofacial Surgery (Dentist)
A82866CAMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972641595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 E HAMILTON AVE",
            "address_2": "SUITE 6",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080232",
            "telephone_number": "408-871-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 E HAMILTON AVE",
            "address_2": "SUITE 6",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080232",
            "telephone_number": "408-871-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEU",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "44633",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "A82866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.