Individual provider Active NPI

Sydney Dawson, DDS

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1114673571
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105705 Issued in CA
Practice address
101 E Redlands Blvd Ste 134
Redlands, CA 92373-4723
Phone
(909) 335-3631
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105705 CA Primary

Addresses

Primary practice location

101 E Redlands Blvd Ste 134
Redlands, CA 92373-4723

Mailing address

1381 Mary LN
Beaumont, CA 92223-3242
Phone (202) 465-0553

Other practice location 1

1636 E Washington St
Colton, CA 92324-4605
Phone (909) 825-3210

Other practice location 2

701 Highland Springs Ave Ste 11
Beaumont, CA 92223-2550
Phone (909) 335-3631

Other names 1

  • Sydney Purschwitz Former name

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
I20220511002543 CA Order and Referring Only - DentistPractitioner - Dentist 4082091137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105705CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nomi Lee Dental Group Inc Past Accepting new patients
Cabanas and Lee Dental Corporation General Practice PastSince Feb 1, 2022 Accepting new patients
Nomi So-Lee Dental Inc PastSince Nov 19, 2023 Accepting new patients
Cooley Ranch Dental Group General Practice Past Accepting new patients

Organizations & group practices 4

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1114673571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 MARY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233242",
            "telephone_number": "202-465-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 134",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734723",
            "telephone_number": "909-335-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923244605",
            "country_code": "US",
            "telephone_number": "909-825-3210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Highland Springs Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922232550",
            "country_code": "US",
            "telephone_number": "909-335-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "SYDNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "PURSCHWITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.