Organization Active NPI

Tibbitts DDS & Associates

  • Dental Clinic/Center
  • Murrieta, CA
National Provider Identifier
1194243162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53656 Issued in CA
Legal business name
TIBBITTS DDS & ASSOCIATES
Practice address
40710 California Oaks Rd Ste B
Murrieta, CA 92562-1950
Phone
(951) 677-5113
Fax
(951) 900-6148
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Valerie A Rogers
Title
Office Assistant
Phone
(951) 677-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53656 CA Primary

Addresses

Primary practice location

40710 California Oaks Rd Ste B
Murrieta, CA 92562-1950

Mailing address

40710 California Oaks Rd Ste B
Murrieta, CA 92562-1950
Phone (951) 677-5113

Other names 1

  • DR ANDREW TIBBITTS DDS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194243162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40710 CALIFORNIA OAKS RD STE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621950",
            "telephone_number": "951-677-5113",
            "fax_number": "951-900-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40710 CALIFORNIA OAKS RD STE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621950",
            "telephone_number": "951-677-5113",
            "fax_number": "951-900-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBBITTS DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "951-677-5113"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR ANDREW TIBBITTS DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.