CU TU LU, DDS INC. A PROFESSIONAL DENTAL CORP. (NPI# 1457864373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457864373 |
| Entity Type | Organization |
| Organization Name | CU TU LU, DDS INC. A PROFESSIONAL DENTAL CORP. |
| Practice Address |
515 E Yosemite Ave Madera CA 93638-3334 |
| Practice Telephone | 5596730199 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | DR. CU TU LU (OWNER/DENTIST) |
| Authorized Official Telephone | 5596730199 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
44928 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1407077274 | 01 |
| Street Address |
515 E YOSEMITE AVE |
| City | MADERA |
| State | CA |
| Zip Code | 93638-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181851 | Bayrakdarian Madera, D.m.d., Inc., A Professional Dental Corporation | Clinic/Center | 2377 W Cleveland Ave Ste 101, Madera, CA 93637-8754 | 2020-10-12 |
| 1235406331 | Madera Kids Dental World | Clinic/Center | 2295 W Cleveland Ave Ste D, Madera, CA 93637-8723 | 2011-11-18 |
| 1346890977 | Dental Group of Saleem and Alfroukh | Clinic/Center | 121 N I St, Madera, CA 93637-4408 | 2019-09-16 |
| 1306317755 | Kimmer E. Young D.d.s. Dental Corporation | Clinic/Center | 2401 W Cleveland Ave, Madera, CA 93637-3608 | 2018-12-11 |
| 1396254991 | Nahideh Shojaei Dds, PC | Clinic/Center | 475 E Almond Ave Ste 103, Madera, CA 93637-5750 | 2017-09-26 |
| 1538550660 | J.r. Wiens Dds, Inc. | Clinic/Center | 615 N I St, Madera, CA 93637-3075 | 2015-02-11 |
| 1174929632 | John R. Wiens Dds, Inc. | Clinic/Center | 615 N I St, Madera, CA 93637-3075 | 2014-11-11 |
| 1518368364 | Muna Almoayad, Dds, Inc | Clinic/Center | 500 E Almond Ave, Suite 3, Madera, CA 93637-5600 | 2014-09-11 |
| 1477796373 | Aqib Mudassar D.d.s Inc | Clinic/Center | 475 E Almond Ave Ste 103, Madera, CA 93637-5750 | 2009-04-08 |
| 1265618508 | Dawn Z Power Dental Inc | Clinic/Center | 950 E Almond Ave Ste 102, Madera, CA 93637-5694 | 2008-01-17 |
| Find all providers in MADERA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.