NPIMap

Organization Active NPI

Jefferson and Lambridis Dental Corporation

Doing business as Gosford Village Dental Group and Orthodontics

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1023360120
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JEFFERSON AND LAMBRIDIS DENTAL CORPORATION
Doing business as
Gosford Village Dental Group and Orthodontics
Practice address
5353 Gosford Rd Ste 103
Bakersfield, CA 93313-4996
Phone
(661) 558-2065
Fax
(661) 588-2137
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Dr. Walter Jefferson, DDS
Title
Owner Doctor
Phone
(661) 588-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

5353 Gosford Rd Ste 103
Bakersfield, CA 93313-4996

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2084

Other names 1

  • Gosford Village Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5353 Gosford Rd
Ste 103
Bakersfield, CA 93313
Phone (626) 818-9073

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1023360120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2084",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GOSFORD RD STE 103",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933134996",
            "telephone_number": "661-558-2065",
            "fax_number": "661-588-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON AND LAMBRIDIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "661-588-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gosford Village Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.