Yabar and Rivas Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43509 Issued in CA

Legal business name

YABAR AND RIVAS DENTAL CORPORATION

Practice address

23823 El Toro Rd
Suite E122
Lake Forest, CA 92630-4743

Phone

(949) 855-9212

Fax

(949) 855-9272

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wilmer Yabar, D.D.S

Title

President

Phone

(949) 855-9212

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1194017541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 EL TORO RD",
            "address_2": "SUITE E122",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304743",
            "telephone_number": "949-855-9212",
            "fax_number": "949-855-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 EL TORO RD",
            "address_2": "SUITE E122",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304743",
            "telephone_number": "949-855-9212",
            "fax_number": "949-855-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YABAR AND RIVAS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "YABAR",
        "authorized_official_first_name": "WILMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-855-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lake Forest, CA
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• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.