DR. MODESTO LUIS DDS
NPI 1720134091
Dentist - General Practice in South Gate, CA

Active since January 26, 2007
4444 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 564-2444(323) 249-7565 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Modesto Luis Dds NPPES

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

DR. MODESTO LUIS DDS (NPI 1720134091) is an individual general practice provider in South Gate, California, licensed in California (36401) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1720134091
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MODESTO LUISCredential: DDS
Location Address4444 TWEEDY BLVDSouth Gate, CA 90280-6304
Mailing Address5238 Los Caballeros WayLos Angeles, CA 90027-1012 · Fax (323) 249-7565
Fax(323) 249-7565
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1720134091 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 · 36401
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.
4444 TWEEDY BLVD, South Gate, CA 90280

Other Identifiers 1

MedicaidD36401CA

Accepted Insurance

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Denturist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280
Dentist (General Practice)
4444 TWEEDY BLVD
SOUTH GATE, CA 90280

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 Modesto Luis's NPI number?

The NPI number for Modesto Luis is 1720134091. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Modesto Luis located?

Modesto Luis practices at 4444 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 564-2444.

What is Modesto Luis's specialty?

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

What insurance does Modesto Luis 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 1 other insurer list Modesto Luis 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 Modesto Luis was last updated on July 9, 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.