NPIMap

Organization Active NPI

Lourdes R. Gaerlan, D.M.D., Inc.

  • Dentist
  • Suisun City, CA
National Provider Identifier
1104027895
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39637 Issued in CA
Legal business name
LOURDES R. GAERLAN, D.M.D., INC.
Practice address
141 Sunset Ave
Ste. I and J
Suisun City, CA 94585-6347
Phone
(707) 421-8190
Fax
(707) 421-9145
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Lourdes Roberto Gaerlan, D.M.D.NPI 1326131210
Title
Office Manager
Phone
(707) 421-8190

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39637 CA Primary

Addresses

Primary practice location

141 Sunset Ave
Ste. I and J
Suisun City, CA 94585-6347

Mailing address

141 Sunset Ave
Ste. I and J
Suisun City, CA 94585-6347
Phone (707) 421-8190

Other names 1

  • Windsmile Family Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

141 Sunset Ave
Ste I
Suisun City, CA 94585
Phone (707) 421-8190

Practitioners & affiliated clinicians

Practitioners 4

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1104027895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SUNSET AVE",
            "address_2": "STE. I AND J",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856347",
            "telephone_number": "707-421-8190",
            "fax_number": "707-421-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SUNSET AVE",
            "address_2": "STE. I AND J",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945856347",
            "telephone_number": "707-421-8190",
            "fax_number": "707-421-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES R. GAERLAN, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GAERLAN",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-421-8190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsmile Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suisun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.