Lynn Daz, D.D.S. ,Inc.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

LYNN DAZ, D.D.S. ,INC.

Doing business as

Moreno Valley Endodontics
Moreno Valley Endodontics a Dentl Practice of Lynn Diaz, D.D.S., Inc

Practice address

24099 Postal Ave Ste 101
Moreno Valley, CA 92553-7709

Phone

(951) 601-1290

Fax

(951) 601-1292

NPI assigned

Jul 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynn DiazNPI 1356546741

Title

President

Phone

(951) 601-1290

Specialties & licenses 1

Addresses

Other names 2

• Moreno Valley Endodontics Doing business as
• Moreno Valley Endodontics a Dentl Practice of Lynn Diaz, D.D.S., Inc Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Diaz, D.D.S.

  • Endodontics
  • Moreno Valley, CA
  • NPI 1356546741
  NPD Authorized official
• Kurt Otto Marcks, D.D.S.

  • Endodontics
  • Moreno Valley, CA
  • NPI 1487858106
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1013697390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24099 POSTAL AVE STE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537709",
            "telephone_number": "951-601-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24099 POSTAL AVE STE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537709",
            "telephone_number": "951-601-1290",
            "fax_number": "951-601-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN DAZ, D.D.S. ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-601-1290",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreno Valley Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moreno Valley Endodontics a Dentl Practice of Lynn Diaz, D.D.S., Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endodontics in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.