Lifetime Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44808 Issued in CA

Legal business name

LIFETIME DENTAL CARE

Practice address

183 E Gonzales Rd
Oxnard, CA 93036-8259

Phone

(805) 981-8116

Fax

(805) 981-8772

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas H. Kim

Title

Dentist

Phone

(805) 981-8116

Specialties & licenses 1

Addresses

Tax ID family

Lifetime Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifetime Dental Care

  • General Practice Dentistry
  • Santa Paula, CA
  • NPI 1528271061
  NPD tax ID

Locations

Practitioners 2

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

• Caroline Carruth, DMD

  • Dentist
  • Oxnard, CA
  • NPI 1801035159

  General Practice

  NPD (past)
• June Ro, D.D.S.

  • General Practice Dentistry
  • Oxnard, CA
  • NPI 1801940010
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1104034842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 E GONZALES RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368259",
            "telephone_number": "805-981-8116",
            "fax_number": "805-981-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 E GONZALES RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368259",
            "telephone_number": "805-981-8116",
            "fax_number": "805-981-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-981-8116",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry K Liao
• Mary M Liao, O.D.
• Shang Chien Liao, M.D.
• Yucheng Jordan Liao, MD PHD
• Lifelink Pediatric Therapy
• Lifetime Dental Care
• Lilia Fernandez Coppa, MD, Inc.
• Courtney Meredith Lillich, P.T. D.P.T.
• Gillian Alexandra Lillich, PT, DPT
• Grace Eunhay Lim, BSN

• General Practice Dentistry in Oxnard, CA
• Providers in Oxnard, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.