NPIMap

Organization Active NPI

Serenity

  • Prosthetic/Orthotic Supplier
  • Rancho Mirage, CA
National Provider Identifier
1205092970
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
C36397 Issued in CA
Legal business name
SERENITY
Practice address
69930 Highway 111
Ste 102
Rancho Mirage, CA 92270-2850
Phone
(760) 699-8685
Fax
(760) 699-8690
NPI assigned
Aug 1, 2008
Last updated
Apr 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dori Lyn Lalanne, CMFNPI 1629245352
Title
Owner
Phone
(760) 699-8685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X C36397 CA Primary

Addresses

Primary practice location

69930 Highway 111
Ste 102
Rancho Mirage, CA 92270-2850

Mailing address

69930 Highway 111
Ste 102
Rancho Mirage, CA 92270-2850
Phone (760) 699-8685

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1205092970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111",
            "address_2": "STE 102",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702850",
            "telephone_number": "760-699-8685",
            "fax_number": "760-699-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69930 HIGHWAY 111",
            "address_2": "STE 102",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702850",
            "telephone_number": "760-699-8685",
            "fax_number": "760-699-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "LALANNE",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-699-8685",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "C36397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.