Dr. Modesto Luis, DDS
Dr. Modesto Luis is a General Practice Dentistry provider (Dentist) practicing in South Gate, CA, registered in the NPPES registry with NPI 1720134091 since 2007. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720134091 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Modesto Luis |
| Credential | DDS |
| Sex | Male |
| Practice address | 4444 TWEEDY BLVD, South Gate, CA, 90280 |
| Phone | 3235642444 |
| Fax | 3232497565 |
| Enumeration date | 2007-01-26 |
| Last updated in NPPES | 2007-07-09 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 36401 | CA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D36401 | Medicaid | CA | — |
Copy-ready billing details
Provider: Modesto Luis, DDS NPI: 1720134091 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 4444 TWEEDY BLVD, South Gate, CA, 90280
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366549545 | Scott Jacks DDS Inc | Organization | Dentist | South Gate, CA |
| 1881740785 | Ovidiu Barbu | Individual | General Practice Dentistry | South Gate, CA |
| 1801942172 | Jay Lutsky | Individual | General Practice Dentistry | South Gate, CA |
| 1619023983 | Daniel Martinez | Individual | General Practice Dentistry | South Gate, CA |
| 1780730051 | Alice Pasion | Individual | General Practice Dentistry | South Gate, CA |
| 1043356728 | Sabina Wiederkehr | Individual | General Practice Dentistry | South Gate, CA |
| 1497891261 | Eleanor Siazon | Individual | General Practice Dentistry | South Gate, CA |
| 1194861872 | Irina Tarnavsky | Individual | General Practice Dentistry | South Gate, CA |
Verify this record
Cross-check NPI 1720134091 against the authoritative CMS record: view Dr. Modesto Luis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1720134091 active?
How do I verify Modesto Luis's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-09.