Individual provider Active NPI

Lars Bjorn Jonsson, DDS

  • Endodontics
  • Laguna Hills, CA
National Provider Identifier
1093809113
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
48924 Issued in CA
Practice address
25261 Paseo de Valencia
Suite 3
Laguna Hills, CA 92637-4966
Phone
(949) 581-8890
Fax
(949) 581-3902
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 48924 CA Primary

Addresses

Primary practice location

25261 Paseo de Valencia
Suite 3
Laguna Hills, CA 92637-4966

Mailing address

25261 Paseo de Valencia
Suite 3
Laguna Hills, CA 92637-4966
Phone (949) 581-8890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150216001553 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436474442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lars Bjorn Jonsson, D.D.S., M.S., Inc. Endodontics CurrentSince Sep 6, 2020 Accepting new patients

Locations

25261 Paseo de Valencia
Ste 3
Laguna Hills, CA 92637
Phone (949) 581-8890

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093809113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25261 PASEO DE VALENCIA",
            "address_2": "SUITE 3",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926374966",
            "telephone_number": "949-581-8890",
            "fax_number": "949-581-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25261 PASEO DE VALENCIA",
            "address_2": "SUITE 3",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926374966",
            "telephone_number": "949-581-8890",
            "fax_number": "949-581-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONSSON",
        "first_name": "LARS",
        "middle_name": "BJORN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.