Organization Active NPI

Semrien DDS Inc.

  • General Practice Dentistry
  • Wildomar, CA
National Provider Identifier
1235489303
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54202 Issued in CA
Legal business name
SEMRIEN DDS INC.
Practice address
32100 Clinton Keith Rd
E
Wildomar, CA 92595-7566
Phone
(951) 678-4300
Fax
(951) 678-4332
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Dr. Ziad Mustafa Semrien, DDS
Title
President
Phone
(951) 678-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54202 CA Primary

Addresses

Primary practice location

32100 Clinton Keith Rd
E
Wildomar, CA 92595-7566

Mailing address

32100 Clinton Keith Rd.
E
Wildomar, CA 92595-7567
Phone (951) 678-4300

Other names 1

  • Wildomar Dental Care Other name

National Provider Directory

National Provider Directory

Locations

32100 Clinton Keith Rd
Ste E
Wildomar, CA 92595
Phone (951) 678-4300

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1235489303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32100 CLINTON KEITH RD.",
            "address_2": "E",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957567",
            "telephone_number": "951-678-4300",
            "fax_number": "951-678-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32100 CLINTON KEITH RD",
            "address_2": "E",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957566",
            "telephone_number": "951-678-4300",
            "fax_number": "951-678-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMRIEN DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "SEMRIEN",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "MUSTAFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-678-4300",
        "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": "54202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildomar Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.