Lori J Nettleton, D D S INC

Primary specialty

DentistTaxonomy code 122300000X

License

32883 Issued in CA

Practice address

8100 Paseo del Ocaso
Suite a
La Jolla, CA 92037-3115

Phone

(858) 459-9772

Fax

(858) 459-9774

NPI assigned

Apr 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lori J Nettleton D.D.S., Inc

  dba La Jolla Shores Dental

  • Dental Clinic/Center
  • La Jolla, CA
  • NPI 1629244694
  NPD (past) Authorized official

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1033385000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 PASEO DEL OCASO",
            "address_2": "SUITE A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373115",
            "telephone_number": "858-459-9772",
            "fax_number": "858-459-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 PASEO DEL OCASO",
            "address_2": "SUITE A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920373115",
            "telephone_number": "858-459-9772",
            "fax_number": "858-459-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLETON",
        "first_name": "LORI",
        "middle_name": "J",
        "credential": "D D S INC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor D. Nelson, M.D.
• Neni Shriver,DDS Inc
• Valentin Franz Wilhelm Nerding, PHYSICAL THERAPIST
• Beatriz Esther Czertok Netter, PH.D.
• Roberto Netter, PH.D.
• Erica Tristan Neubert, NP
• Johannes M. Neuendorf, D.O.
• Kassandra Neuendorff
• Tom S Neuman, MD
• Neuropsychology Consult Services Inc

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.