Organization Active NPI

Douglas a. Lott DDS Inc

  • Dentist
  • Sacramento, CA
National Provider Identifier
1124550439
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37256 Issued in CA
Legal business name
DOUGLAS A. LOTT DDS INC
Practice address
1315 Alhambra Blvd Ste 220
Sacramento, CA 95816-5246
Phone
(916) 448-5458
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Jeanette Hernandez
Title
Office Manager
Phone
(916) 448-5458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37256 CA Primary

Addresses

Primary practice location

1315 Alhambra Blvd Ste 220
Sacramento, CA 95816-5246

Mailing address

1315 Alhambra Blvd Ste 220
Sacramento, CA 95816-5246
Phone (916) 448-5458

Other identifiers 1

IdentifierTypeStateIssuer
1154428662OtherCANPI ENUMERATOR

National Provider Directory

National Provider Directory

Locations

1315 Alhambra Blvd
Ste 220
Sacramento, CA 95816
Phone (916) 448-5458

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": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1124550439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD STE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165246",
            "telephone_number": "916-448-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ALHAMBRA BLVD STE 220",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165246",
            "telephone_number": "916-448-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. LOTT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-448-5458"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENUMERATOR",
            "identifier": "1154428662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.