BRIAN THOMAS LU (NPI# 1487904215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487904215 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS LU |
| Credential | D.D.S. |
| Practice Address |
Corner of Route N12 and N7 Fort Defiance AZ 86504-0649 |
| Mailing Address |
Po Box 649 Fort Defiance AZ 86504-0649 |
| Practice Telephone | 9287298000 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2013-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
61596 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1184251639 | Brian Lu | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2020-03-25 |
| Street Address |
CORNER OF ROUTE N12 AND N7 |
| City | FORT DEFIANCE |
| State | AZ |
| Zip Code | 86504-0649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040577 | John R Thompson | Orthopaedic Surgery | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2005-06-01 |
| 1194348524 | Shanna Michelle George | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-20 |
| 1265077267 | Stanislava Manojlovic | Pharmacist | Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504-0649 | 2019-11-13 |
| 1033767371 | Dakota Kay | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-08-29 |
| 1053964452 | Jenny Dietz | Nurse Practitioner | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2019-07-24 |
| 1386296648 | Tessa Tahereh Facer | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-16 |
| 1346892056 | Amanda Barnes | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-12 |
| 1295206779 | Craig Amidon Fox | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-12-10 |
| 1134698517 | Christa Lee | Advanced Practice Midwife | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2018-11-15 |
| 1518440007 | Ethan Curleyhair | Dentist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
| 1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
| 1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
| 1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
| 1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
| 1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
| 1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
| Find all providers in zip 86504 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760896260 | Magdalena Jaramillo Ruck | Dentist | Corner of N12 & N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407390826 | Westwinddental Unionhills | Dentist | 717 W Union Hills Dr, Phoenix, AZ 85027-5580 | 2016-12-05 |
| 1881007821 | Dallin Reed Snow | Dentist | 4540 E Baseline Rd Ste 110, Mesa, AZ 85206 | 2014-06-06 |
| 1104239508 | Irma Irene Paulley | Dentist | 10,000 S. Wilmot Rd, Tucson, AZ 85734 | 2014-06-04 |
| 1538580113 | Brian T. Hanstad | Dentist | 2105 N. Citrus Ln, Aspc-perryville, Phoenix, AZ 85395 | 2013-12-26 |
| 1538593157 | Arizona Department of Health Services | Dentist | 150 N 18th Avenue, Suite 320, Phoenix, AZ 85007-3205 | 2013-08-30 |
| 1609110915 | Sierra Sky Dental LLC | Dentist | 5259 W Indian School Rd, Suite 110, Phoenix, AZ 85031-2604 | 2012-11-27 |
| 1275800880 | Mark Edward Emshwiller | Dentist | 3212 N Winsong Drive, Prescott Valley, AZ 86314 | 2011-11-28 |
| 1497074231 | Ethan Foster Higson | Dentist | Highway 191 & Hospital Drive, Chinle, AZ 86503 | 2010-05-19 |
| 1154649101 | Meredith A Snyder | Dentist | Highway 191 and Hospital Drive, Chinle, AZ 86503 | 2010-05-13 |
| 1326166604 | Anthony Giacomo Brusca | Dentist | 1403 Birch St, Globe, AZ 85501-1328 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT DEFIANCE |
| Zip Code | 86504 |
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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.