NPIMap

Organization Active NPI

Sarah I. Mathias DDS, Ms, PC

  • Dentist
  • Laguna Hills, CA
National Provider Identifier
1083000236
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48300 Issued in CA
Legal business name
SARAH I. MATHIAS DDS, MS, PC
Practice address
24422 Avenida de la Carlota
Suite #120
Laguna Hills, CA 92653-3636
Phone
(949) 716-1500
Fax
(949) 305-0551
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Kimberly A. Ryerson
Title
Assistant
Phone
(949) 716-1500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 48300 CA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 50990 CA

Addresses

Primary practice location

24422 Avenida de la Carlota
Suite #120
Laguna Hills, CA 92653-3636

Mailing address

24422 Avenida de la Carlota
Suite #120
Laguna Hills, CA 92653-3636
Phone (949) 716-1500

Other names 1

  • Jungle of Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

24422 Avenida de la Carlota
Ste 120
Laguna Hills, CA 92653
Phone (949) 305-0550

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1083000236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE #120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533636",
            "telephone_number": "949-716-1500",
            "fax_number": "949-305-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE #120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533636",
            "telephone_number": "949-716-1500",
            "fax_number": "949-305-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH I. MATHIAS DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "RYERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "949-716-1500"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48300",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jungle of Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.