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LIEU THI CAO D.D.S.
NPI 1629124078
Dentist - General Practice in Roseville, CA

Active since January 26, 2007Opted out of Medicare · through Nov 30, 2027
1253 PLEASANT GROVE BLVD STE 190, ROSEVILLE, CA 95678(916) 780-2262(916) 780-1808 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lieu Thi Cao D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIEU THI CAO D.D.S. (NPI 1629124078) is an individual general practice provider in Roseville, California, licensed in California (50447) and active in the NPI registry since January 2007. She has opted out of Medicare through November 30, 2027.

NPPES Registry Identity

NPI1629124078
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLIEU THI CAOCredential: D.D.S.
Location Address1253 PLEASANT GROVE BLVD STE 190Roseville, CA 95678-6971
Mailing Address1253 Pleasant Grove Blvd Ste 190Roseville, CA 95678-6971 · (916) 780-2262 · Fax (916) 780-1808
Phone(916) 780-2262
Fax(916) 780-1808
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629124078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 50447
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1253 PLEASANT GROVE BLVD STE 190, Roseville, CA 95678
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Lieu Thi Cao D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 30, 2021 through November 30, 2027.

Opt-Out Effective DateNovember 30, 2021
Opt-Out In Effect ThroughNovember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lieu Cao's NPI number?

The NPI number for Lieu Cao is 1629124078. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Lieu Cao located?

Lieu Cao practices at 1253 Pleasant Grove Blvd Ste 190, Roseville, CA 95678. The listed phone number is (916) 780-2262.

What is Lieu Cao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lieu Cao enrolled in Medicare?

No. Lieu Cao has opted out of Medicare through November 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Lieu Cao accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Lieu Cao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lieu Cao was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.