NPIMap

Organization Active NPI

Cabanas and Lee Dental Corporation

Doing business as Rancho Mirage Dental Group

  • General Practice Dentistry
  • Rancho Mirage, CA
National Provider Identifier
1083893580
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CABANAS AND LEE DENTAL CORPORATION
Doing business as
Rancho Mirage Dental Group
Practice address
71817 Highway 111 Ste 1
Rancho Mirage, CA 92270-4487
Phone
(760) 340-5155
Fax
(760) 340-1607
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Carol Cabanas, DDSNPI 1649498379
Title
Owner Doctor
Phone
(760) 340-5155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

71817 Highway 111 Ste 1
Rancho Mirage, CA 92270-4487

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • RANCHO MIRAGE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

71817 Highway 111
Ste 1
Rancho Mirage, CA 92270
Phone (760) 340-5155

72027 Highway 111
Ste C
Rancho Mirage, CA 92270
Phone (760) 340-5155

Practitioners & affiliated clinicians

Practitioners 8

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1083893580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71817 HIGHWAY 111 STE 1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704487",
            "telephone_number": "760-340-5155",
            "fax_number": "760-340-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABANAS AND LEE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "CABANAS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "760-340-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RANCHO MIRAGE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RANCHO MIRAGE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.