Active NPI
Sydney Dawson, DDS
- General Practice Dentistry
- Redlands, CA
National Provider Identifier
1114673571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220511002543 | CA | Order and Referring Only - Dentist | 4082091137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105705 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nomi Lee Dental Group Inc | Past | Accepting new patients | |
| Cabanas and Lee Dental Corporation | General Practice | Past | Accepting new patients |
| Nomi So-Lee Dental Inc | Past | 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.
-
- General Practice Dentistry
- Rancho Mirage, CA
- NPI 1083893580
-
- General Practice Dentistry
- Colton, CA
- NPI 1417304841
-
- Dental Clinic/Center
- Colton, CA
- NPI 1932672656
-
- Dental Clinic/Center
- Redlands, CA
- NPI 1407224884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.