NPIMap

Organization Active NPI

LW Inc

  • Dental Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1093975146
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21292 Issued in CA
Legal business name
LW INC
Practice address
25522 Marguerite Parkway
Suite #100
Mission Viejo, CA 92692
Phone
(949) 586-6200
Fax
(949) 586-2791
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Elisa Kiely
Title
Office Admistrator
Phone
(949) 586-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21292 CA Primary

Addresses

Primary practice location

25522 Marguerite Parkway
Suite #100
Mission Viejo, CA 92692

Mailing address

25522 Marguerite Pkwy
Ste #100
Mission Viejo, CA 92692
Phone (949) 586-6200

Other names 1

  • Mission Viejo Dental Asociates Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1093975146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25522 MARGUERITE PKWY",
            "address_2": "STE #100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92692",
            "telephone_number": "949-586-6200",
            "fax_number": "949-586-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25522 MARGUERITE PARKWAY",
            "address_2": "SUITE #100",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92692",
            "telephone_number": "949-586-6200",
            "fax_number": "949-586-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "KIELY",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "OFFICE ADMISTRATOR",
        "authorized_official_telephone_number": "949-586-6200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "21292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Viejo Dental Asociates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.