Active NPI
Diane J Lew, D.D.S.
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1972694529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37691
- Practice address
- 1565 Hollenbeck Ave Ste 114
Sunnyvale, CA 94087-4300 - Phone
- (408) 736-4323
- Fax
- (408) 736-9041
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37691 | CA | Primary |
Addresses
Primary practice location
1565 Hollenbeck Ave Ste 114
Sunnyvale, CA 94087-4300
Mailing address
1565 Hollenbeck Ave Ste 114
Sunnyvale, CA 94087-4300
Phone (408) 736-4323
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: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 7, 2016 through Apr 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37691 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972694529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 HOLLENBECK AVE STE 114",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874300",
"telephone_number": "408-736-4323",
"fax_number": "408-736-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 HOLLENBECK AVE STE 114",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940874300",
"telephone_number": "408-736-4323",
"fax_number": "408-736-9041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEW",
"first_name": "DIANE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "37691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.