Organization Active NPI

Ma Lourdes Andres-Javier, DDS Inc.

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1063560381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39016 Issued in CA
Legal business name
MA LOURDES ANDRES-JAVIER, DDS INC.
Doing business as
Ma Lourdes Andres-Javier, DDS Inc.
Practice address
1415 Brundage LN
Bakersfield, CA 93304-3114
Phone
(661) 323-0076
Fax
(661) 323-0277
NPI assigned
Jan 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ma Lourdes Andres-Javier, DMD
Title
General Dentist
Phone
(818) 247-9905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39016 CA Primary

Addresses

Primary practice location

1415 Brundage LN
Bakersfield, CA 93304-3114

Mailing address

1415 Brundage LN
Bakersfield, CA 93304-3114
Phone (661) 323-0076

Other identifiers 1

IdentifierTypeStateIssuer
B3901601OtherCADENTI-CAL

Other names 1

  • Ma Lourdes Andres-Javier, DDS Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1415 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-0076

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063560381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043114",
            "telephone_number": "661-323-0076",
            "fax_number": "661-323-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043114",
            "telephone_number": "661-323-0076",
            "fax_number": "661-323-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA LOURDES ANDRES-JAVIER, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRES-JAVIER",
        "authorized_official_first_name": "MA LOURDES",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "818-247-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B3901601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ma Lourdes Andres-Javier, DDS Inc.",
            "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 Aug 22, 2020; 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.