Organization Active NPI

Lotus L Mahon, DDS, Inc.

  • General Practice Dentistry
  • Los Gatos, CA
National Provider Identifier
1184944977
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33490 Issued in CA
Legal business name
LOTUS L MAHON, DDS, INC.
Practice address
242 University Ave
Los Gatos, CA 95030-6013
Phone
(408) 859-8333
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Lotus L Mahon, DDS
Title
President
Phone
(408) 859-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 33490 CA Primary

Addresses

Primary practice location

242 University Ave
Los Gatos, CA 95030-6013

Mailing address

242 University Ave
Los Gatos, CA 95030-6013

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1184944977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 UNIVERSITY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 UNIVERSITY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306013",
            "telephone_number": "408-859-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS L MAHON, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "LOTUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-859-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.