NPIMap

Organization Active NPI

Lynda Watanabe Dental Corporation

Doing business as Temecula Dental Practice

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1235222423
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LYNDA WATANABE DENTAL CORPORATION
Doing business as
Temecula Dental Practice
Practice address
29560 Rancho California Rd Ste 100
Temecula, CA 92591-5294
Phone
(951) 699-2144
Fax
(951) 506-4040
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Lynda C Watanabe, DDS
Title
Owner DDS
Phone
(951) 699-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

29560 Rancho California Rd Ste 100
Temecula, CA 92591-5294

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • TEMECULA DENTAL PRACTICE Doing business as

National Provider Directory

National Provider Directory

Locations

29560 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (617) 834-2683

Practitioners & affiliated clinicians

Practitioners 3

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1235222423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29560 RANCHO CALIFORNIA RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915294",
            "telephone_number": "951-699-2144",
            "fax_number": "951-506-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDA WATANABE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "951-699-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEMECULA DENTAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.