Mi La, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109241 Issued in CA

Practice address

6965 Broadway
Lemon Grove, CA 91945-1405

Phone

(619) 589-0777

NPI assigned

Oct 9, 2023

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 and National Provider Directory roles.

• David Toma DDS, Inc.

  • General Practice Dentistry
  • Lemon Grove, CA
  • NPI 1841433695
  NPD (past)
• Dentists of Lemon Grove

  • General Practice Dentistry
  • Lemon Grove, CA
  • NPI 1235073024
  NPD (past)

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1033990759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S 65TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921145712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451405",
            "telephone_number": "619-589-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7040 Broadway # A27",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919451406",
            "country_code": "US",
            "telephone_number": "619-667-1088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Sweetwater Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Valley",
            "state": "CA",
            "postal_code": "919775628",
            "country_code": "US",
            "telephone_number": "619-464-0426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA",
        "first_name": "MI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiva
• Leanne Marie Kraft
• Tye Moses Krieger, RADT1
• Kelsey Marie Kruse
• La Maestra Family Clinic, Inc. (La Maestra Community Health Centers-Lemon Grove)
• Caroline Laezza
• Jessie Laforteza, LVN
• Shan Lake, RN
• Patricia Gail Laramore
• Rachael Maja Larson

• General Practice Dentistry in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.